Organization
FIRST COAST FIRST ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNIE MONROE PRINCE JR. RN (PRESIDENT)
(904) 797-3379
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 824-4990
(904) 824-2226
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN2220082
FL
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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