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FM MEDICAL
NPI 1053652099
Clinic/Center - Multi-Specialty in St Augustine, FL

Active since March 14, 2013
165 SOUTHPARK BLVD, SUITE C & D, ST AUGUSTINE, FL 32086(904) 823-8833(904) 823-9394 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fm Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FM MEDICAL (NPI 1053652099) is a healthcare organization registered as a multi-specialty in St Augustine, Florida and active in the NPI registry since March 2013. The organization lists Scott Robert Michaels, Owner, as its authorized official.

NPPES Registry Identity

NPI1053652099
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFM MEDICAL
Location Address165 SOUTHPARK BLVD, SUITE C & DSt Augustine, FL 32086-4101
Mailing Address165 Southpark Blvd, Suite C & DSt Augustine, FL 32086-4101 · (904) 823-8833 · Fax (904) 823-9394
Phone(904) 823-8833
Fax(904) 823-9394
Organization SubpartNo
Authorized OfficialScott Robert MichaelsOwner · (904) 823-8833
Enumeration DateMarch 14, 2013
Last NPPES UpdateJuly 8, 2013
✔ NPI 1053652099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in FL · ME106486
165 SOUTHPARK BLVD, St Augustine, FL 32086
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNETTE ZAVRO LMHC
Counselor (Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. JANET GRISWOLD LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. LISA REISDORF BISHOP
Counselor (Mental Health)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
JENNY LING
Massage Therapist
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (347) 543-1923
MS. DENISE J NEALEY MS
Counselor
165 SOUTHPARK BLVD, SUITE C
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MR. JAMES WILSON DAMIANI RN
Registered Nurse (Psychiatric/Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MS. LINDA G GIACOBBE LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. RANDI BLOOM-BRAZER LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fm Medical's NPI number?

The NPI number for Fm Medical is 1053652099. It was assigned to this organization in the NPPES registry on March 14, 2013.

Where is Fm Medical located?

Fm Medical is located at 165 Southpark Blvd Suite C & D, St Augustine, FL 32086. The listed phone number is (904) 823-8833.

What is Fm Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Fm Medical accept?

Health plans from AvMed list Fm Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fm Medical was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.