| Medical Professionals Of North Florida | |
|
1301 Plantation Island Dr S Suite 106a Saint Augustine FL 32080-3108 | |
| (904) 460-9191 | |
| Not Available |
| Full Name | Medical Professionals Of North Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Plantation Island Dr S, Saint Augustine, Florida |
| Authorized Official Name and Position | Jawad Samir Farhat (PRESIDENT) |
| Authorized Official Contact | 9044609191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Professionals Of North Florida 1301 Plantation Island Dr S Suite 106a Saint Augustine FL 32080-3108 Ph: (904) 460-9191 | Medical Professionals Of North Florida 1301 Plantation Island Dr S Suite 106a Saint Augustine FL 32080-3108 Ph: (904) 460-9191 |
| NPI Number | 1093954208 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093954208 | NPI | - | NPPES |
| 256431900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 74226 (Florida) | Primary |
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