| First Coast Integrative Psychiatry | |
|
304 Kingsley Lake Dr Ste 601 St Augustine FL 32092-3042 | |
| (352) 339-3064 | |
| Not Available |
| Full Name | First Coast Integrative Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 304 Kingsley Lake Dr Ste 601, St Augustine, Florida |
| Authorized Official Name and Position | Heather Luing (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3523393064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Integrative Psychiatry 2220 County Road 210 W Ste 108-221 Jacksonville FL 32259-4058 Ph: (352) 339-6311 | First Coast Integrative Psychiatry 304 Kingsley Lake Dr Ste 601 St Augustine FL 32092-3042 Ph: (352) 339-3064 |
| NPI Number | 1750946158 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750946158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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