Ancient City Children's Therapy, LLC
Ancient City Children's Therapy, LLC provides Specialist services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
367 Gianna WaySt Augustine, FL 32086-3858 Not confirmed with CMS for 15 years — call before visiting
Phone: (904) 826-7886
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 12653 (FL) |
|---|
Record details
| NPI number | 1619267671 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johannie Garcia — Owner · (904) 826-7886 |
| NPI enumerated | April 12, 2011 |
| Last updated in NPPES | April 12, 2011 |
| Mailing address | 109 S. Winterhawk, Suite 7, St. Augustine, FL 32086 |
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