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1301 Plantation Island Dr S Ste 202a Saint Augustine FL 32080-3111 | |
| (561) 903-4676 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1301 Plantation Island Dr S Ste 202a, Saint Augustine, Florida |
| Authorized Official Name and Position | Abigail Mury (OWNER) |
| Authorized Official Contact | 2396349548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2470 Oleander St St Augustine FL 32080-5800 Ph: () - | 1301 Plantation Island Dr S Ste 202a Saint Augustine FL 32080-3111 Ph: (561) 903-4676 |
| NPI Number | 1477379741 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477379741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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