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PANACEA ALLIANCE CORP.
NPI 1326298803
Family Medicine in St Augustine, FL

Active since September 22, 2008
1750 TREE BLVD, STE 5, ST AUGUSTINE, FL 32084(904) 342-0672(904) 342-0673 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Sep 5, 2023, Aug 5, 2020 (3 updates tracked since 2020).

About Panacea Alliance Corp. NPPES

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

PANACEA ALLIANCE CORP. (NPI 1326298803) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since September 2008. The organization lists Eneida Gomez, Owner, as its authorized official.

NPPES Registry Identity

NPI1326298803
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePANACEA ALLIANCE CORP.
Location Address1750 TREE BLVD, STE 5St Augustine, FL 32084-5715
Mailing Address1750 Tree Blvd Ste 5St Augustine, FL 32084-5719 · (904) 342-0672
Phone(904) 342-0672
Fax(904) 342-0673
Organization SubpartNo
Authorized OfficialEneida GomezOwner · (904) 342-0672
Enumeration DateSeptember 22, 2008
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1326298803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME83444 (FL)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME 83444 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1750 TREE BLVD, St Augustine, FL 32084
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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

Other Providers at the Same Location NPPES 10

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

DEIRDRE LEAKE MD
Otolaryngology (Facial Plastic Surgery)
1750 TREE BLVD, SUITE 10
ST AUGUSTINE, FL 32084
St. Johns County (904) 810-5434
CHRISTINA BRENNAN M.D.
Dermatology
1750 TREE BLVD, SUITE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-4005
WENDY J. HOLT OTR/L, CHT
Occupational Therapist (Hand)
1750 TREE BLVD, SUITE 8
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-9494
ENEIDA GOMEZ MD
Psychiatry & Neurology (Psychiatry)
1750 TREE BLVD, STE 5
ST AUGUSTINE, FL 32084
St. Johns County (904) 342-0672
MRS. LAURA ELIZABETH TOWNE MD
Dermatology
1750 TREE BLVD, SUITE 1
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 824-4005
TAMMY J. LESAGE OTR/L, CHT
Occupational Therapist (Hand)
1750 TREE BLVD, SUITE 8
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-9494
ANGELA DIANE FITTS LCSW
Social Worker (Clinical)
1750 TREE BLVD, SUITE 5
ST AUGUSTINE, FL 32084
St. Johns County (904) 342-0672
HAND THERAPY SPECIALIST OF FLORIDA INC
Occupational Therapist (Hand)
1750 TREE BLVD, SUITE 8
ST AUGUSTINE, FL 32084
St. Johns County (888) 654-2637

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 Panacea Alliance Corp.'s NPI number?

The NPI number for Panacea Alliance Corp. is 1326298803. It was assigned to this organization in the NPPES registry on September 22, 2008.

Where is Panacea Alliance Corp. located?

Panacea Alliance Corp. is located at 1750 Tree Blvd Ste 5, St Augustine, FL 32084. The listed phone number is (904) 342-0672.

What is Panacea Alliance Corp.'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 Panacea Alliance Corp. was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.