Organization
FLAGLER OB GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MICHAEL AKHIYAT M.D. (PRESIDENT)
(904) 797-2777
Entity
Organization
Contact information
Practice address
3100 US HIGHWAY 1 S, SUITE #1, ST AUGUSTINE, FL 32086-6351
(904) 797-2777
(904) 797-2412
Mailing address
3100 US HIGHWAY 1 S, SUITE #1, ST AUGUSTINE, FL 32086-6351
(904) 797-2777
(904) 797-2412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
02/25/2009
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