OLD MOULTRIE SURGICAL CENTER INC

NPI # 

Practice Address:

2460 Old Moultrie Road , Suite 3

St Augustine, FL, 32086-4198

Practice Phone:

904-797-6627

Practice Fax:

904-797-6028

License Number:

1089

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X

Updated by NPPES on 8/3/2009. You can view the original data set for NPI # 1144326307 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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