Provider First Line Business Practice Location Address:
400 HEALTH PARK BLVD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ST AUGUSTINE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32086-5784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-819-4304
Provider Business Practice Location Address Fax Number:
904-819-4912
Provider Enumeration Date:
05/11/2007