Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
2460 OLD MOULTRIE RD STE 4
ST AUGUSTINE, FL 32086-4198 US
PECOS Enrolled

Michael Joseph Havro

Physician Assistant

Overview

Michael Joseph Havro is a Physician Assistant in the ST AUGUSTINE area. Michael Joseph Havro primary office location is at 2460 OLD MOULTRIE RD STE 4 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164162251 and the information was updated less than a year ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2460 OLD MOULTRIE RD STE 4
ST AUGUSTINE, FL 32086-4198 US
Phone: (904)-797-5740
Fax:
Practice Mailing Information
2460 OLD MOULTRIE RD STE 5
ST AUGUSTINE, FL 32086-4198 US
Phone: (904)-797-5740
Fax:
License NumberState
PA9116916FL

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes

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