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PHYSICIAN ASSOCIATES GROUP, INC.
NPI 1730549817
Psychiatry & Neurology - Addiction Medicine in St Augustine, FL

Active since March 02, 2016
1301 PLANTATION ISLAND DR S, SUITE 201-A, ST AUGUSTINE, FL 32080(904) 342-5965 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physician Associates Group, Inc. NPPES

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

PHYSICIAN ASSOCIATES GROUP, INC. (NPI 1730549817) is a healthcare organization registered as an addiction medicine in St Augustine, Florida and active in the NPI registry since March 2016. The organization lists Jeremy Mirabile, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1730549817
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NamePHYSICIAN ASSOCIATES GROUP, INC.
Location Address1301 PLANTATION ISLAND DR S, SUITE 201-ASt Augustine, FL 32080-3108
Mailing Address1301 Plantation Island Dr S, Suite 201-aSt Augustine, FL 32080-3108 · (904) 342-5965
Phone(904) 342-5965
Organization SubpartNo
Authorized OfficialJeremy MirabileMedical Doctor · (904) 342-5965
Enumeration DateMarch 2, 2016
✔ NPI 1730549817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in FL · ME88707
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
1301 PLANTATION ISLAND DR S, St Augustine, FL 32080
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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 20

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

DR. MELCHOR G BARROS MD
Family Medicine
1301 PLANTATION ISLAND DR S, 102-B
ST AUGUSTINE, FL 32080
St. Johns County (904) 471-2593
RYAN J PEREIRA DPM
Podiatrist (Foot & Ankle Surgery)
1301 PLANTATION ISLAND DR S, STE 203
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-0821
DR. MIGUEL A MAS JR. MD
Pediatrics
1301 PLANTATION ISLAND DR S, SUITE 404
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-1560
MICHAEL HINES
Hearing Instrument Specialist
1301 PLANTATION ISLAND DR S, SUITE 401B
ST AUGUSTINE, FL 32080
St. Johns County (904) 264-0075
DR. FRANCISCO DIAZ JR. D.M.D.
Dentist (General Practice)
1301 PLANTATION ISLAND DR S, SUITE 104 B
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-5566
MEDICAL PROFESSIONALS OF NORTH FLORIDA
Internal Medicine
1301 PLANTATION ISLAND DR S, SUITE 106A
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 460-9191
SCOTT FORREST CORNEAL DO
Physical Medicine & Rehabilitation (Pain Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402A
ST AUGUSTINE, FL 32080
St. Johns County (904) 471-4744
DR. CARMEN C VIVERO M.D.
Internal Medicine (Addiction Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402-B
ST AUGUSTINE, FL 32080
St. Johns County (904) 460-0707

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 Physician Associates Group, Inc.'s NPI number?

The NPI number for Physician Associates Group, Inc. is 1730549817. It was assigned to this organization in the NPPES registry on March 2, 2016.

Where is Physician Associates Group, Inc. located?

Physician Associates Group, Inc. is located at 1301 Plantation Island Dr S Suite 201-A, St Augustine, FL 32080. The listed phone number is (904) 342-5965.

What is Physician Associates Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Physician Associates Group, Inc. was last updated on March 2, 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.