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FIRST COAST ENDOCRINOLOGY P.A. NPI 1467722025


NPI Information

NPI: 1467722025
Provider Name: FIRST COAST ENDOCRINOLOGY, P.A.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D0953947

Address:
300 HEALTH PARK BLVD
SUITE 3008
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 810-2425
Get Directions

FIRST COAST ENDOCRINOLOGY, P.A. is an internal medicine in St Augustine, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FIRST COAST ENDOCRINOLOGY, P.A. NPI is 1467722025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 HEALTH PARK BLVD
SUITE 3008
ST AUGUSTINE, FL
ZIP 32086-707
Phone: (904) 810-2425
Fax: (904) 810-5321

The provider's authorized official is Robert Andrew Oesterle .
The authorized official title is Owner and has the following contact phone number (904) 810-2425.

The CLIA number assigned to this NPI record is 10D0953947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 6/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME0067670FLORIDANo
2207R00000XInternal MedicineME0067870FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G38265MEDICARE UPINFLORIDA
2FY094AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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