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General NPI Number Information
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NPI Number | 1528942208
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Entity Type | Organization
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Legal Business Name | SGMD, PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1301 PLANTATION ISLAND DR S STE 103
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-3109
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Country | US
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Telephone | 904-535-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 8483 STABLES RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7265
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Country | US
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Telephone | 904-535-4104
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE GOLDWASSER
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Credential | MD
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Telephone | 904-535-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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