Individual
LORETTA D AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17240 CORTEZ BLVD, BROOKSVILLE, FL 34601-8921
(352) 544-6050
Mailing address
5901 SW 74TH ST, SUITE 202, MIAMI, FL 33143-5165
(305) 665-4614
(305) 667-0239
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0049362
FL
Other
Enumeration date
10/18/2006
Last updated
05/31/2012
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