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ST AUGUSTINE PHYSICAL MEDICINE
NPI 1568798965
Clinic/Center - Primary Care in St Augustine, FL

Active since October 20, 2009
1100 S PONCE DE LEON BLVD, SUITE 3-A, ST AUGUSTINE, FL 32084(904) 429-7071 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Augustine Physical Medicine NPPES

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

ST AUGUSTINE PHYSICAL MEDICINE (NPI 1568798965) is a healthcare organization registered as a primary care in St Augustine, Florida and active in the NPI registry since October 2009. The organization lists James L Solana, President, as its authorized official.

NPPES Registry Identity

NPI1568798965
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST AUGUSTINE PHYSICAL MEDICINE
Location Address1100 S PONCE DE LEON BLVD, SUITE 3-ASt Augustine, FL 32084-6099
Mailing Address1100 S Ponce De Leon Blvd, Suite 3-aSt Augustine, FL 32084-6099 · (904) 429-7071
Phone(904) 429-7071
Organization SubpartNo
Authorized OfficialJames L SolanaPresident · (904) 429-7071
Enumeration DateOctober 20, 2009
✔ NPI 1568798965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1100 S PONCE DE LEON BLVD, St Augustine, FL 32084
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Other Providers at the Same Location NPPES 2

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

DR. MARIA S FRASER D.M.D.
Dentist (Pediatric Dentistry)
1100 S PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-6321
DEBORAH DUNGAN LMHC
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733

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 St Augustine Physical Medicine's NPI number?

The NPI number for St Augustine Physical Medicine is 1568798965. It was assigned to this organization in the NPPES registry on October 20, 2009.

Where is St Augustine Physical Medicine located?

St Augustine Physical Medicine is located at 1100 S Ponce De Leon Blvd Suite 3-A, St Augustine, FL 32084. The listed phone number is (904) 429-7071.

What is St Augustine Physical Medicine'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 St Augustine Physical Medicine was last updated on October 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.