Physician Associates Group, Inc. | |
1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 | |
(904) 342-5965 | |
Not Available |
Full Name | Physician Associates Group, Inc. |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 1301 Plantation Island Dr S, St Augustine, Florida |
Authorized Official Name and Position | Jeremy Mirabile (MEDICAL DOCTOR) |
Authorized Official Contact | 9043425965 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Physician Associates Group, Inc. 1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 Ph: (904) 342-5965 | Physician Associates Group, Inc. 1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 Ph: (904) 342-5965 |
NPI Number | 1730549817 |
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Provider Enumeration Date | 03/02/2016 |
Last Update Date | 03/02/2016 |
Identifier | Type | State | Issuer |
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1730549817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME88707 (Florida) | Primary |
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