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ECHO MANAGED CARE, LLC
NPI 1669053351
Clinic/Center - Primary Care in Saint Augustine, FL

Active since April 15, 2021
100 ARRICOLA AVE, SAINT AUGUSTINE, FL 32080(904) 825-4368 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Apr 16, 2021 (2 updates tracked since 2021).

About Echo Managed Care, Llc NPPES

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

ECHO MANAGED CARE, LLC (NPI 1669053351) is a healthcare organization registered as a primary care in Saint Augustine, Florida and active in the NPI registry since April 2021. The organization lists John Paul Shaddock, Strategy And Development Officer, as its authorized official.

NPPES Registry Identity

NPI1669053351
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameECHO MANAGED CARE, LLC
Location Address100 ARRICOLA AVESaint Augustine, FL 32080-4515
Mailing Address100 Arricola AveSaint Augustine, FL 32080-4515 · (904) 825-4368
Phone(904) 825-4368
Organization SubpartNo
Authorized OfficialJohn Paul ShaddockStrategy And Development Officer · (850) 341-6322
Enumeration DateApril 15, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1669053351 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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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
ISLAND DOCTORS INTRASTATE 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 Echo Managed Care, LLC's NPI number?

The NPI number for Echo Managed Care, LLC is 1669053351. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Echo Managed Care, LLC located?

Echo Managed Care, LLC is located at 100 Arricola Ave, Saint Augustine, FL 32080. The listed phone number is (904) 825-4368.

What is Echo Managed Care, LLC'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 Echo Managed Care, LLC was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.