HomeNPI Verification

NPI Verification

National Provider Identifier: 1710940648

Anastasia Medical Group, LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Podiatrist

Code: 213E00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1301 PLANTATION ISLAND DRIVE

SUITE 203A

ST AUGUSTINE, FL 32080

Phone: 904-461-0821

NPI Enumeration Date

April 11, 2006

NPI Number

1710940648

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry