Individual
DR. DOUGLAS ARTHUR ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 5TH AVE, SUITE 204, INDIALANTIC, FL 32903-4273
(321) 821-4889
(321) 821-4890
Mailing address
5831 S A1A HWY, MELBOURNE, FL 32951-3702
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME69436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379311700
—
FL
Enumeration date
05/17/2006
Last updated
11/20/2019
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