Organization
CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL
Active
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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