Ace Medical Llc | |
665 State Road 207 Ste 101b St Augustine FL 32084-5939 | |
(904) 342-0816 | |
(904) 342-0553 |
Full Name | Ace Medical Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 665 State Road 207 Ste 101b, St Augustine, Florida |
Authorized Official Name and Position | Diana M Cordero (OWNER/PRESIDENT) |
Authorized Official Contact | 9042383752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ace Medical Llc 9471 Baymeadows Rd Ste 405 Jacksonville FL 32256-7937 Ph: (904) 238-3752 | Ace Medical Llc 665 State Road 207 Ste 101b St Augustine FL 32084-5939 Ph: (904) 342-0816 |
NPI Number | 1609393594 |
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Provider Enumeration Date | 08/23/2017 |
Last Update Date | 12/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609393594 | NPI | - | NPPES |
7635710002 | Other | NSC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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