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FIRST COAST LTC, INC
NPI 1538418868
General Practice in Saint Johns, FL

Active since August 31, 2012
25 STATE ROAD 13, ATT: CLINIC, SAINT JOHNS, FL 32259(904) 309-6504(904) 503-3577 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About First Coast Ltc, Inc NPPES

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

FIRST COAST LTC, INC (NPI 1538418868) is a healthcare organization registered as a general practice in Saint Johns, Florida and active in the NPI registry since August 2012. The organization lists David Samara, President, as its authorized official.

NPPES Registry Identity

NPI1538418868
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFIRST COAST LTC, INC
Location Address25 STATE ROAD 13, ATT: CLINICSaint Johns, FL 32259-2842
Mailing Address6555 Chester Ave Ste 1Jacksonville, FL 32217-2279 · (904) 309-6504 · Fax (904) 503-3577
Phone(904) 309-6504
Fax(904) 503-3577
Organization SubpartYes
Authorized OfficialDavid SamaraPresident · (904) 309-6504
Enumeration DateAugust 31, 2012
Last NPPES UpdateMarch 7, 2016
✔ NPI 1538418868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME31637
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
25 STATE ROAD 13, Saint Johns, FL 32259
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Other Identifiers 3

Medicaid371340700FL
OtherCG-1814Rr Medicare
Medicare PIN98411FL

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 3

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

HNI AMBULATORY SERVICES OF FLORIDA, LLC
Internal Medicine
25 STATE ROAD 13
FRUIT COVE, FL 32259
St. Johns County (904) 287-7300
WESLEY MANOR, INC.
Skilled Nursing Facility
25 STATE ROAD 13
JACKSONVILLE, FL 32259
St. Johns County (904) 287-7315
MISS ALYSSA CARMELA WALKER OTR/L
Occupational Therapist
25 STATE ROAD 13
FRUIT COVE, FL 32259
St. Johns County (904) 287-7300

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 First Coast Ltc, Inc's NPI number?

The NPI number for First Coast Ltc, Inc is 1538418868. It was assigned to this organization in the NPPES registry on August 31, 2012.

Where is First Coast Ltc, Inc located?

First Coast Ltc, Inc is located at 25 State Road 13 Att: Clinic, Saint Johns, FL 32259. The listed phone number is (904) 309-6504.

What is First Coast Ltc, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for First Coast Ltc, Inc was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.