| Flagler Family Medicine P A | |
|
130 Health Park Blvd St Augustine FL 32086-5776 | |
| (904) 826-3469 | |
| (904) 808-4608 |
| Full Name | Flagler Family Medicine P A |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Ruth J Faircloth (ACCOUNTS RECEVIABLE MANAGER) |
| Authorized Official Contact | 9048263469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagler Family Medicine P A 130 Health Park Blvd St Augustine FL 32086-5776 Ph: (904) 826-3469 | Flagler Family Medicine P A 130 Health Park Blvd St Augustine FL 32086-5776 Ph: (904) 826-3469 |
| NPI Number | 1215080809 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/23/2008 |
| Medicare PECOS PAC ID | 9335114347 |
|---|---|
| Medicare Enrollment ID | O20040901000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215080809 | NPI | - | NPPES |
| CD6611 | Other | FL | PALMETTO GBA RAILROAD MED |
| 252488100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederick Chaz Dolgin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184681876 PECOS PAC ID: 3577538586 Enrollment ID: I20040901000497 |
| Provider Name | Mary K Schupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851445860 PECOS PAC ID: 0840210969 Enrollment ID: I20051202000635 |
| Provider Name | Carlos M Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922042191 PECOS PAC ID: 4284719980 Enrollment ID: I20080305000229 |
| Provider Name | Michael Look |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861677601 PECOS PAC ID: 9032282967 Enrollment ID: I20080724000774 |
| Provider Name | Jerry Weed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275570897 PECOS PAC ID: 7517094857 Enrollment ID: I20100419000761 |
| Provider Name | Warren Owen Whitlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538126156 PECOS PAC ID: 0143295154 Enrollment ID: I20100429000316 |
| Provider Name | Linda Sue Clonch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487611166 PECOS PAC ID: 3476685074 Enrollment ID: I20100716000809 |
| Provider Name | Andrew John Gunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508823295 PECOS PAC ID: 0345373015 Enrollment ID: I20100802000309 |
| Provider Name | Christopher Joseph Zub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972560506 PECOS PAC ID: 5092849307 Enrollment ID: I20100820000995 |
| Provider Name | Daniel Joseph Donofrio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710090915 PECOS PAC ID: 5092747220 Enrollment ID: I20101115000243 |
| Provider Name | Myragrace J Golmayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548545361 PECOS PAC ID: 6507025988 Enrollment ID: I20120302000624 |
| Provider Name | Melissa M Senior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518224443 PECOS PAC ID: 5597929489 Enrollment ID: I20120605000364 |
| Provider Name | Suzanne S Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497154520 PECOS PAC ID: 5294956736 Enrollment ID: I20141024002135 |
| Provider Name | Jodie Calain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912135492 PECOS PAC ID: 9830355148 Enrollment ID: I20160920002665 |
| Provider Name | Milena Jguenti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932147402 PECOS PAC ID: 9335154327 Enrollment ID: I20170901002750 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20180129002364 |
| Provider Name | Katelyn Raulerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467095 PECOS PAC ID: 5092041830 Enrollment ID: I20190731002220 |
| Provider Name | Teri Ann Lavenbarg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932232121 PECOS PAC ID: 4385531128 Enrollment ID: I20200210000188 |
| Provider Name | Rosemary Ann Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790225134 PECOS PAC ID: 0143642595 Enrollment ID: I20200612001444 |
| Provider Name | Andrea Tschannerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164191961 PECOS PAC ID: 6800294620 Enrollment ID: I20211008001948 |
| Provider Name | Lindsey B James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205026697 PECOS PAC ID: 1254405665 Enrollment ID: I20220422000728 |
| Provider Name | Stephanie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396487567 PECOS PAC ID: 2365820883 Enrollment ID: I20220610002352 |
| Provider Name | Andrew H Lourens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568956456 PECOS PAC ID: 2860745965 Enrollment ID: I20230815002719 |
| Provider Name | Randall Anselmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417024936 PECOS PAC ID: 4789844317 Enrollment ID: I20240212003096 |
Mainland Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arricola Ave, St Augustine, FL 32080 Phone: 904-825-4368 Fax: 904-825-9107 | |
Hospitalist Medicine Physicians Of Mississippi-tcs, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 615-377-5658 | |
Fm Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086 Phone: 904-823-8833 Fax: 904-823-9394 | |
David B. Goldberg, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Family Medical Care Of St Augustine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-7773 | |
Farghaly Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Whetstone Pl, Suite 208, St Augustine, FL 32086 Phone: 904-826-7932 Fax: 904-819-6700 |