| First Coast Endocrinology, P.a. | |
|
300 Health Park Blvd Suite 3008 St Augustine FL 32086-3707 | |
| (904) 810-2425 | |
| (904) 810-5321 |
| Full Name | First Coast Endocrinology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Robert Andrew Oesterle (OWNER) |
| Authorized Official Contact | 9048102425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Endocrinology, P.a. 300 Health Park Blvd Suite 3008 St Augustine FL 32086-3707 Ph: (904) 810-2425 | First Coast Endocrinology, P.a. 300 Health Park Blvd Suite 3008 St Augustine FL 32086-3707 Ph: (904) 810-2425 |
| NPI Number | 1467722025 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 4981865250 |
|---|---|
| Medicare Enrollment ID | O20120412000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467722025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0067870 (Florida) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0067670 (Florida) | Secondary |
| Provider Name | Robert A Oesterle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053524116 PECOS PAC ID: 2668633934 Enrollment ID: I20120412000636 |
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