Organization
FIRST COAST INTEGRATIVE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER LUING MD (MEDICAL DIRECTOR)
(352) 339-3064
Entity
Organization
Contact information
Practice address
304 KINGSLEY LAKE DR STE 601, ST AUGUSTINE, FL 32092-3042
(352) 339-3064
Mailing address
2220 COUNTY ROAD 210 W STE 108-221, JACKSONVILLE, FL 32259-4058
(352) 339-6311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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