Organization · Type 2 NPI
Old Moultrie Surgical Center Inc
Ambulatory Surgical Clinic/Center · St. Augustine, FL
NPI number
1144326307
Active
Practice location
2460 Old Moultrie Road, Suite 3
St. Augustine, FL 32086-4198
Fax (904) 797-6028
Mailing address
P O Box 3127
St. Augustine, FL 32085-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 1089 (FL) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
Other ambulatory surgical clinic/center providers in St. Augustine
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- St. Augustine Surgery CenterAmbulatory Surgical Clinic/Center St. Augustine, FL NPI 1548224041
- St. Augustine Ambulatory Surgery Center, LLCAmbulatory Surgical Clinic/Center St. Augustine, FL NPI 1598643140
- Eye Surgery Center of Saint Augustine IncAmbulatory Surgical Clinic/Center St. Augustine, FL NPI 1750383295
- ST Augustine Endoscopy Center LLCAmbulatory Surgical Clinic/Center St. Augustine, FL NPI 1841251501
About NPI 1144326307
Old Moultrie Surgical Center Inc's National Provider Identifier is 1144326307, issued on Sep 15, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 3, 2009.