Organization · Type 2 NPI

Ouch, PA

Specialist · St. Augustine, FL

NPI number 1144383746 Active

Practice location

105 Southpark Blvd, Suite C 300
St. Augustine, FL 32086-4162

Fax (904) 808-7090

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144383746

Ouch, PA's National Provider Identifier is 1144383746, issued on Dec 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 17, 2011.