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General NPI Number Information
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NPI Number | 1598507014
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Entity Type | Organization
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Legal Business Name | FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 70 TURIN TERRACE, SUITE 110
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City | ST. AUGUSTINE
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State | FL
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Zip | 32092
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Country | US
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Telephone | 904-819-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 70 TURIN TERRACE, SUITE 110
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City | ST. AUGUSTINE
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State | FL
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Zip | 32092
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Country | US
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Telephone | 904-819-7200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | CARLTON DEVOOGHT
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Credential |
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Telephone | 904-819-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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