| First Coast Pulmonary Associates | |
|
100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 | |
| (904) 819-6800 | |
| (904) 819-6700 |
| Full Name | First Coast Pulmonary Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Whetstone Pl, St Augustine, Florida |
| Authorized Official Name and Position | Jennifer Butler (MANAGER) |
| Authorized Official Contact | 9048196800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Pulmonary Associates 100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 Ph: (904) 819-6800 | First Coast Pulmonary Associates 100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 Ph: (904) 819-6800 |
| NPI Number | 1306942032 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 05/29/2009 |
| Medicare PECOS PAC ID | 3678549565 |
|---|---|
| Medicare Enrollment ID | O20040902000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306942032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (Florida) | Primary |
| Provider Name | Ramzi Michel Shaqareq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598715229 PECOS PAC ID: 5597708511 Enrollment ID: I20050609000795 |
| Provider Name | Bernard Borbely |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063410991 PECOS PAC ID: 5294701181 Enrollment ID: I20100604000571 |
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