| Stat Medical Office Services Inc | |
|
811 State Road 206 E Ste 2 St Augustine FL 32086-4869 | |
| (904) 824-0955 | |
| (904) 824-2226 |
| Full Name | Stat Medical Office Services Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 811 State Road 206 E Ste 2, St Augustine, Florida |
| Authorized Official Name and Position | Tessy Goyenechea (OWNER) |
| Authorized Official Contact | 9048244990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Medical Office Services Inc Po Box 3123 St Augustine FL 32085-3123 Ph: (904) 824-4990 | Stat Medical Office Services Inc 811 State Road 206 E Ste 2 St Augustine FL 32086-4869 Ph: (904) 824-0955 |
| NPI Number | 1861241226 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861241226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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