| J Greg Dent M D & Associates P L | |
|
400 Health Park Blvd St Augustine FL 32086-5784 | |
| (904) 819-4565 | |
| (904) 819-4999 |
| Full Name | J Greg Dent M D & Associates P L |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | James Gregory Dent (MANAGING MEMBER) |
| Authorized Official Contact | 9048194565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Greg Dent M D & Associates P L 400 Health Park Blvd St Augustine FL 32086-5784 Ph: (904) 819-4565 | J Greg Dent M D & Associates P L 400 Health Park Blvd St Augustine FL 32086-5784 Ph: (904) 819-4565 |
| NPI Number | 1083650576 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083650576 | NPI | - | NPPES |
| 94842 | Other | FL | BCBSF GRP |
| 267927200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME71168 (Florida) | Primary |
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