Organization
REZ INC
Active
Other names
ST AUGUSTINE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZWAN ROSA ASHDJI M.D. (PRESIDENT)
(904) 823-3777
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S, SUITE 402 B, ST AUGUSTINE, FL 32080-3108
(904) 823-3777
(904) 823-3363
Mailing address
1301 PLANTATION ISLAND DR S, SUITE 402 B, ST AUGUSTINE, FL 32080-3108
(904) 823-3777
(904) 823-3363
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0057416
FL
Other
Enumeration date
12/11/2006
Last updated
04/27/2015
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