Organization
EDUARDO DIEGUEZ JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO DIEGUEZ JR. MD (OWNER)
(904) 824-0955
Entity
Organization
Contact information
Practice address
811 STATE ROAD 206 E STE 1, ST AUGUSTINE, FL 32086-4869
(904) 824-0955
(904) 824-2226
Mailing address
PO BOX 3105, ST AUGUSTINE, FL 32085-3105
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME41955
FL
Other
Enumeration date
09/18/2007
Last updated
03/07/2024
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