Organization
CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI TUTAR M.D. (PRESIDENT)
(904) 823-8809
Entity
Organization
Contact information
Practice address
2550 US 1 S, SAINT AUGUSTINE, FL 32086-6194
(904) 823-8809
(904) 823-8851
Mailing address
3501B N PONCE DE LEON BLVD PMB 392, SAINT AUGUSTINE, FL 32084-1400
(904) 823-8809
(904) 823-8851
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME85299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264667600
—
FL
Enumeration date
10/24/2006
Last updated
03/16/2026
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