DR. ANTHONY J MUSSALLEM (NPI# 1265506083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265506083 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J MUSSALLEM |
| Practice Address |
100 St Augustine South Drive St Augustine FL 32086 |
| Practice Telephone | 9047973785 |
| Practice Fax Number | 9047973789 |
| Mailing Telephone | 9047973785 |
| Mailing Fax Number | 9047973789 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME124001 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
100 ST AUGUSTINE SOUTH DRIVE |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982093795 | Ki Bum Lee | Obstetrics & Gynecology | 4713 Sawbuck St, St Augustine, FL 32092-3690 | 2015-01-16 |
| 1487641403 | Sherri Lee Maetozo | Obstetrics & Gynecology | 1301 Plantation Island Drive, Suite 103, St Augustine, FL 32080 | 2005-10-04 |
| 1699138636 | Majdouline Asher | Obstetrics & Gynecology | 300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703 | 2016-03-29 |
| 1285931485 | Florida Woman Care | Obstetrics & Gynecology | 52 Tuscan Way, St Augustine, FL 32092-1850 | 2011-02-24 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1487951737 | Reda Alami Md Pa | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2011-02-23 |
| 1144526708 | Amnath Kirdnual, M.d., P.a. | Obstetrics & Gynecology | 201 Health Park Blvd, Suite 211, St Augustine, FL 32086-5796 | 2011-01-31 |
| 1053614305 | Vijayselwyn Davis Dhas Md | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2010-12-08 |
| 1699088997 | Rachel Kaplan | Obstetrics & Gynecology | 300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703 | 2010-07-15 |
| 1710206925 | Sherri Lee Maetozo Md Pa | Obstetrics & Gynecology | 1301 Plantation Island Drive, Ste 103, St Augustine, FL 32080-3109 | 2010-05-27 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.