| Hyperbaric Treatment Association | |
|
129 Seagrove Main Street 202 Saint Augustine FL 32080-6376 | |
| (804) 296-4094 | |
| Not Available |
| Full Name | Hyperbaric Treatment Association |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 129 Seagrove Main Street, Saint Augustine, Florida |
| Authorized Official Name and Position | Michelle Renee Reillo (DIRECTOR) |
| Authorized Official Contact | 8042964094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyperbaric Treatment Association 129 Seagrove Main Street 202 Saint Augustine FL 32080 Ph: (804) 296-4094 | Hyperbaric Treatment Association 129 Seagrove Main Street 202 Saint Augustine FL 32080-6376 Ph: (804) 296-4094 |
| NPI Number | 1902116049 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 09/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902116049 | NPI | - | NPPES |
| 1407050024 | Other | FL | JOHN DELUCA, M.D., MEDICAL DIRECTOR, NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RN9303002 (Florida) | Primary |
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