Organization
OBGYN ASSOCIATES OF ST AUGUSTINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN YARIAN MD (PRESIDENT)
(904) 819-1500
Entity
Organization
Contact information
Practice address
300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
(904) 819-1500
(904) 810-1023
Mailing address
300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
(904) 819-1500
(904) 810-1023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0066572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264245000
—
FL
Enumeration date
04/26/2006
Last updated
12/03/2007
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