Organization
FIRST COAST PULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BUTLER (MANAGER)
(904) 819-6800
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL 32086-5774
(904) 819-6800
(904) 819-6700
Mailing address
100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL 32086-5774
(904) 819-6800
(904) 819-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207RP1001X
Pulmonary Disease Physician
Primary
—
FL
Other
Enumeration date
09/16/2006
Last updated
05/29/2009
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