Organization

Eduardo Dieguez Jr Md Pa

Pain Medicine (Anesthesiology) Physician in St Augustine, FL(View on Map)

Legal Business Name

Eduardo Dieguez Jr Md Pa

NPI Number

1851587406

NPI Type

Organization

Enumeration Date

09/18/2007

Specialties

(Taxonomies)

Code

207LP2900X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME41955

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3105
811 STATE ROAD 206 E STE 1

City

St Augustine
St Augustine

State

FL
FL

Postal Code

32085-3105
32086-4869

Country

US
US

Telephone Number

N/A
(904) 824-0955

Authorized Official

Name

Eduardo Dieguez

Title or Position

OWNER

Telephone Number

(904) 824-0955

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2024

Provider Address

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