Organization
ST. AUGUSTINE EAR, NOSE & THROAT, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPANA S DEPASQUALE DO (OWNER)
(904) 461-6060
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DRIVE, UNIT 401, SAINT AUGUSTINE, FL 32080
(904) 461-6060
(904) 461-6622
Mailing address
1301 PLANTATION ISLAND DRIVE, UNIT 401, SAINT AUGUSTINE, FL 32080
(904) 461-6060
(904) 461-6622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS8839
FL
Other
Enumeration date
07/09/2006
Last updated
07/30/2007
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