| Medical Specialists Of Hastings | |
|
201 West Lattin Street Hastings FL 32145 | |
| (904) 824-8158 | |
| (904) 823-1284 |
| Full Name | Medical Specialists Of Hastings |
|---|---|
| Speciality | Family Medicine |
| Location | 201 West Lattin Street, Hastings, Florida |
| Authorized Official Name and Position | Shriram S Marathe (PRESIDENT) |
| Authorized Official Contact | 9048248158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialists Of Hastings 665 State Road 207 Suite 102 Saint Augustine FL 32084-5938 Ph: (904) 824-8158 | Medical Specialists Of Hastings 201 West Lattin Street Hastings FL 32145 Ph: (904) 824-8158 |
| NPI Number | 1265592745 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265592745 | NPI | - | NPPES |
| 250270403 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 94907 (Florida) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 91451 (Florida) | Secondary |
Azalea Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 E Saint Johns Ave, Hastings, FL 32145 Phone: 904-692-2920 Fax: 904-692-3611 | |
Aza Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 West Lattin Street, Hastings, FL 32145 Phone: 904-692-1508 Fax: 904-692-1509 |