First Coast Obstetrics And Gynecology Pa

NPI 1710286067 - Clinic/Center - 261QR1300X

NPI Details
NPI 1710286067
Enumeration Date 03/24/2011
Last Updated 05/11/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LUCIEN - MAXIMIN YANOU LUCIEN - MAXIMIN
Position PRESIDENT
Phone (386) 325-5699
Fax
Practice Location
6100 SAINT JOHNS AVE
SUITE 6
PALATKA FL, 32177-3844, US
Phone (386) 325-5699
Fax
Business Location
6100 SAINT JOHNS AVE
SUITE 6
PALATKA FL, 32177-3844, US
Phone (386) 325-5699
Fax
Toxanomy
Taxonomy Code 261QR1300X
License State Florida
License Number ME85684
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According to our database, First Coast Obstetrics And Gynecology Pa NPI is 1710286067, taxonomy code is 261QR1300X and license number is ME85684, license state is located at Florida. First Coast Obstetrics And Gynecology Pa physically located at 6100 Saint Johns Ave, Palatka FL, 32177-3844. NPI Number 1033115704 has the healthcare provider type.

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1710286067 NPI number is provided on an as is basis without warranty of any kind. 1710286067 is maintained by the National Plan & Provider Enumeration System. The contents of First Coast Obstetrics And Gynecology Pa are for informational purposes only.