Dr. Bruce Henry Paley , DO
Dermatology • St Augustine, FL
1851 Old Moultrie Rd, Suite B
St Augustine, FL 320844168
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 14, 2006; this date does not establish years in practice.
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Published CMS data list 6,150 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 3,371 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 942 service units.
- 99212 — Established patient outpatient office visit: 879 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,145 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 498 prescription fills, including refills.
- Mometasone Furoate — 169 prescription fills, including refills.
- Minocycline Hcl — 82 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Dermatology in Florida (2024, 840 clinicians with data). Median for this group: 3,319. Middle half: 1,281 to 7,079.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 8,009 in 2020 to 6,150 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1851 Old Moultrie Rd
Suite B
St Augustine, FL 320844168
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Orange Park, FL; Palatka, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Des Moines University Of Osteopathic Medicine And Health Sciences
1987
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
678 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $259,309 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $188,837 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,184 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$15,044 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $101.20 across 2 records.
By nature of payment
- Food and Beverage: $101.20 across 2 records.
Reporting-company totals
- ABIOMED: $78.86 across 1 record.
- Almirall LLC: $22.34 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
39 years (graduated 1987)
CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Paley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Paley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in St Augustine and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Dermatology in Florida (2024, 840 clinicians with data). Median for this group: 3,319. Middle half: 1,281 to 7,079.
Too few clinicians listed under Dermatology in St Augustine have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Dermatology in Florida (2024, 840 clinicians with data). Median for this group: $233,999. Middle half: $92,950 to $521,722.
Too few clinicians listed under Dermatology in St Augustine have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Dermatology in Florida (2024, 840 clinicians with data). Median for this group: $169,006. Middle half: $65,814 to $384,781.
Too few clinicians listed under Dermatology in St Augustine have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Dermatology in Florida (2024, 907 clinicians with data). Median for this group: 606. Middle half: 254 to 1,130.
Too few clinicians listed under Dermatology in St Augustine have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Dermatology in Florida (2024, 907 clinicians with data). Median for this group: $32,090. Middle half: $6,089 to $165,032.
Too few clinicians listed under Dermatology in St Augustine have Medicare Part D data for 2024 to compare.
9 active clinicians are listed under Dermatology with a practice address in St Augustine, FL (1,213 in Florida).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 23% from 8,009 in 2020 to 6,150 in 2024.
- 2020: 8,009
- 2021: 8,430
- 2022: 6,875
- 2023: 6,920
- 2024: 6,150
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Medicare-allowed amount
Medicare-allowed amount decreased 22% from $330,619 in 2020 to $259,309 in 2024.
- 2020: $330,619
- 2021: $364,661
- 2022: $288,407
- 2023: $300,799
- 2024: $259,309
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Paid by Medicare
Paid by Medicare decreased 22% from $241,631 in 2020 to $188,837 in 2024.
- 2020: $241,631
- 2021: $267,653
- 2022: $208,700
- 2023: $219,138
- 2024: $188,837
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,086 in 2020 and 1,145 in 2024.
- 2020: 1,086
- 2021: 1,033
- 2022: 1,024
- 2023: 1,151
- 2024: 1,145
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30-day fills
30-day fills stayed about the same: 1,111 in 2020 and 1,184 in 2024.
- 2020: 1,111
- 2021: 1,055
- 2022: 1,051
- 2023: 1,187
- 2024: 1,184
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Part D drug cost
Part D drug cost decreased 41% from $25,389 in 2020 to $15,044 in 2024.
- 2020: $25,389
- 2021: $19,647
- 2022: $22,799
- 2023: $22,868
- 2024: $15,044
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $19.09 in 2021 to $101.20 in 2025.
- 2021: $19.09
- 2022: $126.50
- 2023: $411.37
- 2024: $365.92
- 2025: $101.20
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $101.20.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABIOMED |
Food and Beverage
In-kind items and services
|
— | General | $78.86 |
| Almirall LLC |
Food and Beverage
In-kind items and services
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Klisyri | General | $22.34 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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3,371 | 443 | $21.00 | $6.22 |
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17000
Destruction of precancer skin growth, 1 growth
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942 | 531 | $90.00 | $62.96 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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879 | 515 | $65.00 | $54.65 |
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11102
Biopsy of related skin growth, first growth
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137 | 123 | $130.00 | $95.26 |
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11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
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105 | 67 | $268.00 | $117.57 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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100 | 100 | $90.00 | $69.87 |
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12031
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
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94 | 60 | $260.00 | $248.57 |
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17110
Destruction of skin growth, 1-14 growths
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84 | 74 | $120.00 | $107.94 |
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11103
Biopsy of related skin growth, each additional growth
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55 | 41 | $75.00 | $47.75 |
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12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
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52 | 43 | $310.00 | $284.24 |
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11642
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
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46 | 37 | $307.00 | $157.88 |
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12051
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
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44 | 39 | $280.00 | $268.89 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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44 | 44 | $125.00 | $108.90 |
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11104
Punch biopsy, first skin growth
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42 | 42 | $150.00 | $118.70 |
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17004
Destruction of precancer skin growth, 15 or more growths
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33 | 17 | $240.00 | $159.92 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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33 | 32 | $100.00 | $88.28 |
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11402
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
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23 | 16 | $200.00 | $165.26 |
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11603
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
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23 | 21 | $303.00 | $145.78 |
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11622
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
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19 | 13 | $280.00 | $135.10 |
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11105
Punch biopsy, each additional skin growth
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13 | 11 | $80.00 | $56.62 |
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11641
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
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11 | 11 | $281.00 | $114.13 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 498 | 5,008 | $2,888.19 | 341 |
| Mometasone Furoate | Mometasone Furoate | 169 | 4,132 | $2,935.00 | 101 |
| Minocycline Hcl | Minocycline Hcl | 82 | 2,630 | $1,385.33 | 35 |
| Ketoconazole | Ketoconazole | 73 | 1,787 | $1,448.39 | 30 |
| Prednisone | Prednisone | 62 | 1,769 | $172.35 | 27 |
| Fluticasone Propionate | Fluticasone Propionate | 59 | 1,633 | $1,802.54 | 37 |
| Clobetasol Propionate | Clobetasol Propionate | 39 | 1,133 | $932.69 | 17 |
| Doxycycline Hyclate | Doxycycline Hyclate | 32 | 1,045 | $686.32 | — |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | 819 | $234.97 | 18 |
| Fluorouracil | Fluorouracil | 22 | 565 | $1,067.93 | 20 |
| Nystatin | Nystatin | 21 | 759 | $305.32 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 189 | $110.32 | 15 |
| Mupirocin | Mupirocin | 17 | 386 | $227.60 | 15 |
| Metronidazole | Metronidazole | 13 | 426 | $578.06 | — |
| Ammonium Lactate | Ammonium Lactate | 11 | 650 | $268.97 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-03-11NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - DERMATOLOGY
I20040902001112
FL
8224004015
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
205 Zeagler Dr Ste 202
Palatka, FL 321773860
Phone: 3863253115
1542 Kingsley Ave Ste 146
Orange Park, FL 320734547
Phone: 9048248088
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
General Practice
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 14, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Dermatology Specialists in St Augustine
- Dr. Joanna Mcgetrick, MD
- Dr. Sarah Ferrer-Bruker, DO
- Dr. Maria Cooper, MD
- Dr. David Gross, MD
- Dr. Pamela Padilla, MD
- Dr. Ivette Sosa Seda, MD
Mailing Address
1851 Old Moultrie Rd, Suite B
St Augustine, FL 320844168
Phone: 9048248088