| Mgw Inc | |
|
350 Paseo Reyes Dr St Augustine FL 32095-8464 | |
| (904) 777-8777 | |
| (904) 777-8700 |
| Full Name | Mgw Inc |
|---|---|
| Speciality | Psychologist |
| Location | 350 Paseo Reyes Dr, St Augustine, Florida |
| Authorized Official Name and Position | Sharon L Schulman (VP) |
| Authorized Official Contact | 9044366032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgw Inc 350 Paseo Reyes Dr St Augustine FL 32095-8464 Ph: (904) 777-8777 | Mgw Inc 350 Paseo Reyes Dr St Augustine FL 32095-8464 Ph: (904) 777-8777 |
| NPI Number | 1316112709 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316112709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6360 (Florida) | Primary |
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