Organization
FIRST COAST HEART AND VASCULAR AT FLAGLER HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WAGNER (VP OF REVENUE OPTIMIZATION)
(904) 819-4525
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL STE 102, ST AUGUSTINE, FL 32086-5775
(904) 342-8300
Mailing address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
10/18/2022
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