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ISLAND DOCTORS INTRASTATE LLC
NPI 1568083889
Clinic/Center - Primary Care in Saint Augustine, FL

Active since April 27, 2020CLIA Certified · 4 labs
100 ARRICOLA AVE, SAINT AUGUSTINE, FL 32080(904) 825-4368(904) 825-9107 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island Doctors Intrastate Llc NPPES

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

ISLAND DOCTORS INTRASTATE LLC (NPI 1568083889) is a healthcare organization registered as a primary care in Saint Augustine, Florida and active in the NPI registry since April 2020. The organization holds 4 active CLIA laboratory certificates and lists Roy H Hinman, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1568083889
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameISLAND DOCTORS INTRASTATE LLC
Location Address100 ARRICOLA AVESaint Augustine, FL 32080-4515
Mailing Address100 Arricola AveSaint Augustine, FL 32080-4515 · (904) 825-4368 · Fax (904) 825-9107
Phone(904) 825-4368
Fax(904) 825-9107
Organization SubpartNo
Authorized OfficialRoy H HinmanCeo And President · (904) 825-4368
Enumeration DateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1568083889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
100 ARRICOLA AVE, Saint Augustine, FL 32080
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CLIA Laboratory Certificates CMS CLIA 4

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 10D0870484

Island Doctors · Saint Augustine, FL
Active · expires Aug 31, 2026
CLIA Number10D0870484
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRoy H. Hinman II
Laboratory Phone(904) 825-4368
Laboratory LocationIsland Doctors100 Arricola Avenue, Saint Augustine, FL 32080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2240282

Island Doctors · Milton, FL
Active · expires Oct 18, 2027
CLIA Number10D2240282
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorRoy H. Hinman
Laboratory Phone(904) 825-4368
Laboratory LocationIsland Doctors5528 Stewart Street, Milton, FL 32570
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2098785

Island Doctors · St Augustine, FL
Active · expires Jul 13, 2027
CLIA Number10D2098785
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorRoy H. Hinman
Laboratory Phone(904) 825-4368
Laboratory LocationIsland Doctors2460 Old Moultrie Rd Ste #5, St Augustine, FL 32086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1015245

Island Doctors · Saint Augustine, FL
Active · expires Jul 27, 2027
CLIA Number10D1015245
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorRoy Hinman
Laboratory Phone(904) 460-9191
Laboratory LocationIsland Doctors1000 Plantation Island Dr, Suite #9,, Saint Augustine, FL 32080
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 10

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

MAINLAND PHYSICIANS GROUP LLC
Family Medicine (Geriatric Medicine)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
WILLIAM D BERMEO PAC
Family Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ODELAISYS ENRIQUEZ MD
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
V.I.P MD CARE LLC
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (954) 586-8058
MR. EUGENE KINNALY P.A.
Physician Assistant (Medical)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4701
ECHO MANAGED CARE, LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
SARA MARIE OCAMPO DENSLOW APRN
Nurse Practitioner (Family)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
LEE WILLIAM ELGIN III MSN, CRNP, AGACNP-BC
Nurse Practitioner (Family)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4568

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 Island Doctors Intrastate LLC's NPI number?

The NPI number for Island Doctors Intrastate LLC is 1568083889. It was assigned to this organization in the NPPES registry on April 27, 2020.

Where is Island Doctors Intrastate LLC located?

Island Doctors Intrastate LLC is located at 100 Arricola Ave, Saint Augustine, FL 32080. The listed phone number is (904) 825-4368.

What is Island Doctors Intrastate LLC's specialty?

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

Does Island Doctors Intrastate LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Island Doctors Intrastate LLC was last updated on April 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.