| Flagler Psychiatric Associates | |
|
6277 A1a S Unit 202 St Augustine FL 32080-7515 | |
| (904) 907-1070 | |
| (949) 660-5868 |
| Full Name | Flagler Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6277 A1a S Unit 202, St Augustine, Florida |
| Authorized Official Name and Position | Benjamin Watkins Lacy (OWNER) |
| Authorized Official Contact | 9049071070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagler Psychiatric Associates 6277 A1a S Unit 202 St Augustine FL 32080-7515 Ph: (904) 907-1070 | Flagler Psychiatric Associates 6277 A1a S Unit 202 St Augustine FL 32080-7515 Ph: (904) 907-1070 |
| NPI Number | 1386163939 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386163939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME128307 (Florida) | Primary |
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