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Sjb MD PA

Obstetrics & Gynecology, Gynecology in Palm Coast, FL. Organization (NPI-2).

NPI number1265624852
StatusActive
Last updated in NPPESSep 10, 2008

Details

NPI
1265624852
Entity type
Organization (NPI-2)
Legal business name
Sjb MD PA
Organization subpart
No
Enumeration date
Aug 16, 2007
Last updated
Sep 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Other names

  • Palm Coast Women'S Center (Doing Business As)

Practice location

21 Hospital Dr
Suite 270
Palm Coast, FL 32164-2380

Phone 386-437-5959

Mailing address

21 Hospital Dr
Suite 270
Palm Coast, FL 32164-2380

Phone 386-437-5959

Authorized official

Steven J Brown
President
3864375959

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