FM MEDICAL
NPI 1053652099
Clinic/Center - Multi-Specialty in St Augustine, FL
NPI Status: Active since March 14, 2013
Contact Information
165 SOUTHPARK BLVD
SUITE C & D
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 823-8833
Fax: (904) 823-9394
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About FM MEDICAL
This page provides the complete NPI Profile along with additional information for Fm Medical, a provider established in St Augustine, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1053652099 assigned on March 2013. The practitioner's primary taxonomy code is 261QM1300X with license number ME106486 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Scott Robert Michaels D.c. (Owner)
- NPI
- 1053652099
- Provider Name
- FM MEDICAL
- Entity Type
- Organization
- Location Address
- 165 SOUTHPARK BLVD SUITE C & D ST AUGUSTINE, FL 32086
- Location Phone
- (904) 823-8833
- Location Fax
- (904) 823-9394
- Mailing Address
- 165 SOUTHPARK BLVD SUITE C & D ST AUGUSTINE, FL 32086
- Mailing Phone
- (904) 823-8833
- Mailing Fax
- (904) 823-9394
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2013
- Last Update Date
- 07-08-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- ME106486
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053652099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053652099, enumerated as an "organization" on March 14, 2013.
The provider is located at 165 SOUTHPARK BLVD SUITE C & D ST AUGUSTINE, FL 32086 and the phone number is (904) 823-8833.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.
