Organization
ALL CITY FAMILY HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG CHEBERKO (OWNER)
(386) 586-1229
Entity
Organization
Contact information
Practice address
419 ANASTASIA BLVD, SAINT AUGUSTINE, FL 32080-4508
(386) 586-1229
Mailing address
4721 E MOODY BLVD, BLDG 1 SUITE 103, BUNNELL, FL 32110-7705
(386) 586-1229
(386) 586-2887
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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