LIGHTHOUSE PAIN AND SPINE SPECIALISTS
Osteopathic Medicine at Health Park Blvd, Saint Augustine, FL

License number
Florida ME97111
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JOHN DOYLE MD
Title: OWNER
Phone: (904) 824-4990
Address
Address
300 Health Park Blvd SUITE 5008, Saint Augustine, FL 32086
National Provider ID: 1104903160
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lighthouse Pain and Spine Specialists, Pl

Saint Augustine, FL

Status:
Inactive
Registration:
Mar 11, 2004
Addresses:
400 Health Park Blvd, Saint Augustine, FL 32086
PO Box 3012, Saint Augustine, FL 32085
State ID:
L04000019179
Business type:
Florida Limited Liability
Managing Member:
John J. Doyle Managing Member, inactive
Agent:
James J. Flick

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