VIP DOCTORS CARE OF ST AUGUSTINE LLC (NPI# 1114351079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114351079 |
| Entity Type | Organization |
| Organization Name | VIP DOCTORS CARE OF ST AUGUSTINE LLC |
| Practice Address |
655 State Road 207 Suite 102 St Augustine FL 32084-5937 |
| Mailing Address |
2301 Nw 33rd Ct Suite 111 Pompano Beach FL 33069-1000 |
| Practice Telephone | 5618437720 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | JOSEPH DICAPUA (MANAGING MEMBER) |
| Authorized Official Telephone | 5618437720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
655 STATE ROAD 207 SUITE 102 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
| 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 |
| 1548282684 | Malgorzata Kaluza | Family Medicine | 308 Kingsley Lake Dr Ste 802, St Augustine, FL 32092-3046 | 2006-07-25 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on VIP DOCTORS CARE OF ST AUGUSTINE LLC.
| 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.