Organization
NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA
Active
Organization
NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBASTIAN JOSEPHKUTTY M.D; FCCP. (PRESIDENT)
(904) 824-4532
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD, SUITE # 326, ST AUGUSTINE, FL 32086-5771
(904) 824-4532
(904) 824-4024
Mailing address
301 HEALTH PARK BLVD, SUITE # 326, ST AUGUSTINE, FL 32086-5771
(904) 824-4532
(904) 824-4024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
FL
207RP1001X
Pulmonary Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255224800
—
FL
Enumeration date
10/26/2006
Last updated
11/07/2014
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