FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. (NPI# 1023672573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023672573 |
| Entity Type | Organization |
| Organization Name | FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. |
| Other Organization Name | FLAGLER HEALTH PRIMARY CARE |
| Practice Address |
120 Palencia Village Dr Ste 107 St Augustine FL 32095-8553 |
| Mailing Address |
Po Box 3266 St Augustine FL 32085-3266 |
| Practice Telephone | 9048193200 |
| Practice Fax Number | 9048193201 |
| Mailing Telephone | 9048194602 |
| Mailing Fax Number | 9048194426 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | JOHN FRANKS (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 9048194065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Flagler Health Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Health Park Blvd Ste 215, St Augustine, FL 320865797 | 9048243777 | 9048246050 |
| 33 Old Kings Rd N Ste 3, Palm Coast, FL 321378238 | 3864451100 | |
| 486 Town Plaza Ave Ste 440, Ponte Vedra, FL 320815142 | 9048194242 | 9048194243 |
| 70 Turin Ter Ste 100, St Augustine, FL 320920849 | 9048193000 | 9048193201 |
| 70 Turin Terrace, Suite 100, Saint Augustine, FL 32092 | 9048193000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1871131573 | Flagler Professional Health Care Services, Inc. | Orthopaedic Surgery | 300 Health Park Blvd Ste 1000, St Augustine, FL 32086-3702 | 2019-12-13 |
| 1487218939 | Flagler Professional Health Care Services, Inc. | Pediatrics | 120 Palencia Village Dr Ste 108, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1396300133 | Flagler Professional Health Care Services, Inc. | Radiology | 70 Turin Ter Ste 120, St Augustine, FL 32092-0849 | 2019-05-07 |
| 1891207551 | Flagler Professional Health Care Services, Inc. | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2017-11-02 |
| 1104347020 | Flagler Professional Health Care Services, Inc. | Emergency Medicine | 120 Health Park Blvd Ste 1, Saint Augustine, FL 32086-5798 | 2017-06-30 |
| Street Address |
120 PALENCIA VILLAGE DR STE 107 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073952909 | Meredith Johnston Brazell | Pediatrics | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2013-06-25 |
| 1336706779 | Shawn Rene Wells | Nurse Practitioner | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1821406679 | Flagler Family Medicine Pa | Family Medicine | 315 W Town Pl Ste 1, St Augustine, FL 32092-3105 | 2014-07-24 |
| 1114351079 | Vip Doctors Care of St Augustine LLC | Family Medicine | 655 State Road 207, Suite 102, St Augustine, FL 32084-5937 | 2013-08-28 |
| 1205085107 | Imran Hyderali Rajwani | Family Medicine | 309 Kingsley Lake Dr, Suite No. 904, St Augustine, FL 32092-3047 | 2008-09-16 |
| 1851463731 | Dudley Atkin Baringer | Family Medicine | 120 Health Park Blvd, Suite 1, St Augustine, FL 32086-3701 | 2006-11-15 |
| 1932215571 | Anastasia Family and Urgent Care | Family Medicine | 103 Anastasia Blvd, St Augustine, FL 32080-4503 | 2006-08-23 |
| 1649383845 | Roy H Hinman Md Pa | Family Medicine | 100 Arricola Avenue, St Augustine, FL 32080-4515 | 2006-08-15 |
| 1710090915 | Daniel J Donofrio | Family Medicine | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-08-15 |
| 1225051238 | Zehra Cumber | Family Medicine | 1955 Us 1 S Ste 100, St Augustine, FL 32086-5788 | 2006-07-25 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
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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.