ST AUGUSTINE MEDICAL CLINIC
NPI 1457411373
Clinic/Center - Primary Care in St Augustine, FL

Active since December 11, 2006
1301 PLANTATION ISLAND DR S, SUITE 402 B, ST AUGUSTINE, FL 32080(904) 823-3777(904) 823-3363 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Augustine Medical Clinic NPPES

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

ST AUGUSTINE MEDICAL CLINIC (NPI 1457411373) is a healthcare organization registered as a primary care in St Augustine, Florida and active in the NPI registry since December 2006. The organization lists Rezwan Rosa Ashdji, President, as its authorized official.

NPPES Registry Identity

NPI1457411373
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREZ INC
Location Address1301 PLANTATION ISLAND DR S, SUITE 402 BSt Augustine, FL 32080-3108
Mailing Address1301 Plantation Island Dr S, Suite 402 BSt Augustine, FL 32080-3108 · (904) 823-3777 · Fax (904) 823-3363
Fax(904) 823-3363
Organization SubpartNo
Authorized OfficialRezwan Rosa AshdjiPresident · (904) 823-3777
Enumeration DateDecember 11, 2006
Last NPPES UpdateApril 27, 2015
NPI 1457411373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ME0057416
1301 PLANTATION ISLAND DR S, St Augustine, FL 32080

Other Names 1

Other NameSt Augustine Medical Clinic

Other Identifiers 2

Medicare UPINF75286FL
Medicare PINAA563FL

Other Providers at the Same Location NPPES 20

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

Family Medicine
1301 PLANTATION ISLAND DR S, 102-B
ST AUGUSTINE, FL 32080
Podiatrist (Foot & Ankle Surgery)
1301 PLANTATION ISLAND DR S, STE 203
ST AUGUSTINE, FL 32080
Pediatrics
1301 PLANTATION ISLAND DR S, SUITE 404
ST AUGUSTINE, FL 32080
Hearing Instrument Specialist
1301 PLANTATION ISLAND DR S, SUITE 401B
ST AUGUSTINE, FL 32080
Dentist (General Practice)
1301 PLANTATION ISLAND DR S, SUITE 104 B
ST AUGUSTINE, FL 32080
Internal Medicine
1301 PLANTATION ISLAND DR S, SUITE 106A
SAINT AUGUSTINE, FL 32080
Physical Medicine & Rehabilitation (Pain Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402A
ST AUGUSTINE, FL 32080
Internal Medicine (Addiction Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402-B
ST AUGUSTINE, FL 32080

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 Rez Inc's NPI number?

The NPI number for Rez Inc is 1457411373. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is also known as St Augustine Medical Clinic.

Where is Rez Inc located?

Rez Inc is located at 1301 Plantation Island Dr S Suite 402 B, St Augustine, FL 32080. The listed phone number is (904) 823-3777.

What is Rez Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Rez Inc was last updated on April 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.