NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013404946 | DELUCIA | KATHLEEN | MARY |   | 3574 US HIGHWAY 1 S STE 101-104 | ST AUGUSTINE | FL | 320866466 |
1124598925 | FRANCIS | RAYMOND | NOEL |   | 3574 US 1 S STE 101-104 | ST AUGUSTINE | FL | 320866466 |
1659868586 | GREGORY | SUZANNE |   |   | 3574 US HIGHWAY 1 S STE 101-104 | ST AUGUSTINE | FL | 320866466 |
1346735248 | KINSELLA | VALERI |   |   | 3574 US HIGHWAY 1 S | ST AUGUSTINE | FL | 320866466 |
1922595859 | LOPEZ | PATRICIA |   |   | 3574 US 1 S STE 102 | ST AUGUSTINE | FL | 320866467 |
1124595152 | MISSILDINE | BRITTANY | MARIE |   | 3574 US 1 S STE 101 | ST AUGUSTINE | FL | 320866467 |
1003303934 | PANET RAYMOND | DANIELA | TREATMENT |   | 3574 US 1 S | ST AUGUSTINE | FL | 320866466 |
1487132239 | QUILTY | MELISSA | SHANNON |   | 3574 US 1 S STE 102 | ST AUGUSTINE | FL | 320866467 |
1114415965 | SUMMERIZE | KEVIN | MARTE |   | 3574 US 1 S STE 101-104 | ST AUGUSTINE | FL | 320866466 |
1194212027 | TUCKER | JASON | LAMAR |   | 3574 US 1 S STE 101104 | ST AUGUSTINE | FL | 320866466 |
1477040301 | UMERAH | ONONIKE |   |   | 3574 US 1 S STE 101-104 | ST AUGUSTINE | FL | 320866466 |