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MILL CREEK FAMILY CARE
NPI 1255362034
Family Medicine in St Augustine, FL

Active since July 06, 2006
475 W TOWN PL, SUITE 105, ST AUGUSTINE, FL 32092(904) 940-1441(904) 940-1490 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mill Creek Family Care NPPES

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

MILL CREEK FAMILY CARE (NPI 1255362034) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since July 2006. The organization lists Traci L Bragg, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1255362034
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILL CREEK FAMILY CARE
Location Address475 W TOWN PL, SUITE 105St Augustine, FL 32092-3648
Mailing Address475 W Town Pl, Suite 105St Augustine, FL 32092-3648 · (904) 940-1441 · Fax (904) 940-1490
Phone(904) 940-1441
Fax(904) 940-1490
Organization SubpartNo
Authorized OfficialTraci L BraggOwner/physician · (904) 940-1441
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255362034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
475 W TOWN PL, St Augustine, FL 32092
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Other Identifiers 1

Other16805FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PAMELA SCHUTTER
Counselor (Mental Health)
475 W TOWN PL, SUITE 205 D
ST AUGUSTINE, FL 32092
St. Johns County (904) 484-2158
TRINITY HEALTH SOUTH PLLC
Internal Medicine
475 W TOWN PL, SUITE 105
ST AUGUSTINE, FL 32092
St. Johns County (904) 806-4579
BAPTIST PRIMARY CARE INC
Family Medicine
475 W TOWN PL, SUITE 105
ST AUGUSTINE, FL 32092
St. Johns County (904) 940-1441

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 Mill Creek Family Care's NPI number?

The NPI number for Mill Creek Family Care is 1255362034. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Mill Creek Family Care located?

Mill Creek Family Care is located at 475 W Town Pl Suite 105, St Augustine, FL 32092. The listed phone number is (904) 940-1441.

What is Mill Creek Family Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Mill Creek Family Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.