Linda Sue Clonch in St Augustine - Family Medicine

Linda Sue Clonch - NPI 1487611166

Linda Sue Clonch is a Family Medicine in St Augustine, Florida. Linda Sue Clonch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Linda Sue Clonch is 1487611166. The last update date is 2008-07-23.

Linda Sue Clonch's current location address is 130 Health Park Blvd, St Augustine, Florida. You can contact this provider via phone number 9048263469 and fax number 9048084608. The mailing address for Linda Sue Clonch is 130 Health Park Blvd, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda Sue Clonch
Address 130 Health Park Blvd, St Augustine, Florida
Phone Number 9048263469
Fax Number 9048084608
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487611166
Provider Enumeration Date 2006-04-27
Last Updated Date 2008-07-23

Provider Mailing Address Detail

Address 130 Health Park Blvd
City St Augustine
State Florida (FL)
Post Code 320865776
Phone Number 9048263469
Fax Number 9048084608

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME48434
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44248800 FL --
80096187 FL PALMETTO GBA RAILROAD MED

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FAQs about Linda Sue Clonch

What is the unique provider identifier assigned to Linda Sue Clonch?

The Linda Sue Clonch has been issued the NPI (National Provider Identifier) 1487611166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Linda Sue Clonch's physical address?

The Linda Sue Clonch is physically located at 130 Health Park Blvd, in the city of St Augustine, FL, with the postal code 320865776.

What is the Linda Sue Clonch's specialty and taxonomy code?

The Linda Sue Clonch's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Linda Sue Clonch's 1487611166 issued?

The Linda Sue Clonch's 1487611166 was issued on 2006-04-27.

As of what date were the details pertaining to Linda Sue Clonch last refreshed?

The information related to the Linda Sue Clonch, including its address, specialty, and other relevant details, was last updated on 2008-07-23.

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