Organization
ST AUGUSTINE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE MATTHEWS MD (PRESIDENT)
(904) 797-2902
Entity
Organization
Contact information
Practice address
3100 US 1 S, SUITE 3, ST AUGUSTINE, FL 32086-6351
(904) 797-2902
Mailing address
PO BOX 16848, JACKSONVILLE, FL 32245-6848
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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