Organization
GASTROENTEROLOGY ASSOCIATES OF ST AUGUSTINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO A ROSADO M.D. (PRESIDENT)
(904) 824-6108
Entity
Organization
Contact information
Practice address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Mailing address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056279300
—
FL
Enumeration date
03/31/2006
Last updated
10/26/2016
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