Organization
FOCUSED MENS HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J HANEL APRN (OWNER)
(904) 687-9486
Entity
Organization
Contact information
Practice address
2760 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6343
(904) 217-7058
(904) 814-8149
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
04/01/2020
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