MEDFUND LLC (NPI# 1841293982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841293982 |
| Entity Type | Organization |
| Organization Name | MEDFUND LLC |
| Other Organization Name | HORIZON ST. AUGUSTINE LLC |
| Practice Address |
200 Southpark Blvd Ste 210 St Augustine FL 32086-3101 |
| Mailing Address |
240 N Washington Blvd Sarasota FL 34236-5945 |
| Practice Telephone | 9048190920 |
| Practice Fax Number | 9048190299 |
| Mailing Telephone | 9419253490 |
| Mailing Fax Number | 9419534452 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARTIN J KERN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9419253490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
HCC5205 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO # | 2302684 | 01 | |
| FL | CITRUS HMO | 105715-15 | 01 |
| AETNA PPO/POS # | 7008104 | 01 | |
| FL | BCBS PROVIDER # | V2456 | 01 |
| Other Name | Type Code |
|---|---|
| Horizon St. Augustine LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204862 | Medfund LLC | Clinic/Center | 3020 S Harvard Ave, Tulsa, OK 74114-6126 | 2005-06-09 |
| 1437152121 | Medfund LLC | Clinic/Center | 500 N Semoran Blvd, Ste 103, Orlando, FL 32807-3381 | 2005-05-27 |
| 1710980644 | Medfund LLC | Clinic/Center | 3501 22nd St, Lubbock, TX 79410-1307 | 2005-05-24 |
| 1598768459 | Medfund LLC | Clinic/Center | 109 Gallery Cir, Ste 115, San Antonio, TX 78258-3328 | 2005-05-24 |
| 1851394753 | Medfund LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2005-05-24 |
| 1285637074 | Medfund LLC | Clinic/Center | 17482 Northwest Fwy, Houston, TX 77040-1002 | 2005-05-24 |
| 1003819921 | Medfund LLC | Clinic/Center | 4041 W Wheatland Rd, Ste 178, Dallas, TX 75237-4061 | 2005-05-24 |
| 1174526909 | Medfund LLC | Clinic/Center | 1726 Rock Prairie Rd, College Station, TX 77845-5900 | 2005-05-24 |
| 1174526966 | Medfund LLC | Clinic/Center | 6550 N Macarthur Blvd, Ste 120, Irving, TX 75039-2823 | 2005-05-24 |
| 1811990617 | Medfund LLC | Clinic/Center | 9300 Emmett F Lowry Expy, Ste 148, Texas City, TX 77591-2133 | 2005-05-24 |
| Street Address |
200 SOUTHPARK BLVD STE 210 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680996 | Julie Marie Jabour | Speech-Language Pathologist | 200 Southpark Blvd, St Augustine, FL 32086-3129 | 2019-07-02 |
| 1235790684 | Kayla Kathleen Evans | Speech-Language Pathologist | 200 Southpark Blvd, St Augustine, FL 32086-3129 | 2019-06-26 |
| 1972834760 | Coastal Foot & Ankle Wellness Center LLC | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2010-01-19 |
| 1124266010 | A1 Imaging of St Augustine LLC | Clinic/Center | 200 Southpark Blvd, Ste 210, St Augustine, FL 32086-3101 | 2009-01-30 |
| 1265691208 | A1 Imaging of St Augustine | Clinic/Center | 200 Southpark Blvd, Suite 210, St Augustine, FL 32086-3101 | 2008-06-05 |
| 1477590248 | Richard W Johnson | Podiatrist | 200 Southpark Blvd, Ste 208, St Augustine, FL 32086-3129 | 2006-06-01 |
| 1992742142 | Jose M Concha | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266010 | A1 Imaging of St Augustine LLC | Clinic/Center | 200 Southpark Blvd, Ste 210, St Augustine, FL 32086-3101 | 2009-01-30 |
| 1265691208 | A1 Imaging of St Augustine | Clinic/Center | 200 Southpark Blvd, Suite 210, St Augustine, FL 32086-3101 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700176 | Mri Associates of Crystal River | Clinic/Center | 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 | 2020-11-04 |
| 1477168714 | Indago Imaging | Clinic/Center | 3716 W 12th Ave, Hialeah, FL 33012-4126 | 2020-09-14 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1548880784 | Lee County Mri Inc | Clinic/Center | 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 | 2020-04-17 |
| 1053942383 | Musculoskeletal Institute Chartered | Clinic/Center | 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 | 2020-01-27 |
| 1407497647 | Proscan Imaging Naples LLC | Clinic/Center | 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 | 2019-09-30 |
| 1851940100 | Express Medical Imaging, LLC | Clinic/Center | 6300 Saint Johns Ave, Palatka, FL 32177-3884 | 2019-09-10 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1205497260 | South Miami Open Mri LLC | Clinic/Center | 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 | 2019-06-21 |
| 1215592829 | Advance Scans & Imaging Center Inc. | Clinic/Center | 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on MEDFUND 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.