Organization
FLAGLER HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S GORDY (CEO/PRESIDENT)
(904) 819-4400
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-5155
(904) 819-4906
Mailing address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-5155
(904) 819-4906
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
5665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010171100
—
FL
Enumeration date
11/29/2011
Last updated
11/29/2011
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