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FLAGLER CARE CENTER
NPI 1104347020
Family Medicine in Saint Augustine, FL

Active since June 30, 2017CLIA 10D2349023 · Waiver
120 HEALTH PARK BLVD STE 1, SAINT AUGUSTINE, FL 32086(904) 823-3401(904) 829-8649 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 31, 2020, Feb 12, 2020, Aug 30, 2017 and 1 more (4 updates tracked since 2017).

About Flagler Care Center NPPES

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

FLAGLER CARE CENTER (NPI 1104347020) is a healthcare organization registered as a family medicine in Saint Augustine, Florida and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Jason Barrett, Hospital President, as its authorized official.

NPPES Registry Identity

NPI1104347020
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Location Address120 HEALTH PARK BLVD STE 1Saint Augustine, FL 32086-5798
Mailing Address120 Health Park Blvd Ste 1Saint Augustine, FL 32086-5798 · (904) 819-4602 · Fax (904) 819-4426
Phone(904) 823-3401
Fax(904) 829-8649
Organization SubpartNo
Authorized OfficialJason BarrettHospital President · (904) 819-4400
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 31, 20204 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
✔ NPI 1104347020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
120 HEALTH PARK BLVD STE 1, Saint Augustine, FL 32086
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Other Names 1

Doing Business AsFlagler Care Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2349023

Flagler Professional Health Care Services Inc Dba Uf Health Primary Care- West Augustine · Saint Augustine, FL
Active · expires Aug 13, 2028
CLIA Number10D2349023
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorMark S. Michaels
Laboratory Phone(904) 819-5155
Laboratory LocationFlagler Professional Health Care Services Inc Dba Uf Health Primary Care- West Augustine938 W King St, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. BILLY FRANKLIN GARDNER II MD
Family Medicine
120 HEALTH PARK BLVD STE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4400
RANDOLPH W HEATH PA-C
Physician Assistant (Medical)
120 HEALTH PARK BLVD STE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3401
MR. PATRICK THOMPSON PA-C
Physician Assistant (Surgical)
120 HEALTH PARK BLVD STE 1
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-1010
MEGAN M WALKER PA-C
Physician Assistant
120 HEALTH PARK BLVD STE 1
SAINT AUGUSTINE, FL 32086
St. Johns County (888) 481-2135

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 Flagler Professional Health Care Services, Inc.'s NPI number?

The NPI number for Flagler Professional Health Care Services, Inc. is 1104347020. It was assigned to this organization in the NPPES registry on June 30, 2017. The provider is doing business as Flagler Care Center.

Where is Flagler Professional Health Care Services, Inc. located?

Flagler Professional Health Care Services, Inc. is located at 120 Health Park Blvd Ste 1, Saint Augustine, FL 32086. The listed phone number is (904) 823-3401.

What is Flagler Professional Health Care Services, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Flagler Professional Health Care Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2349023) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Flagler Professional Health Care Services, Inc. was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.