Organization
FLAGLER PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WATKINS LACY V MD (OWNER)
(904) 907-1070
Entity
Organization
Contact information
Practice address
6277 A1A S UNIT 202, ST AUGUSTINE, FL 32080-7515
(904) 907-1070
(949) 660-5868
Mailing address
6277 A1A S UNIT 202, ST AUGUSTINE, FL 32080-7515
(904) 907-1070
(949) 660-5868
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME128307
FL
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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