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FM MEDICAL CLINIC LLC
NPI 1891298790
Clinic/Center in St Augustine, FL

Active since March 16, 2018
165 SOUTHPARK BLVD, ST AUGUSTINE, FL 32086(904) 823-8833(904) 823-9394 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fm Medical Clinic Llc NPPES

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

FM MEDICAL CLINIC LLC (NPI 1891298790) is a healthcare organization registered as a clinic/center in St Augustine, Florida and active in the NPI registry since March 2018. The organization maintains a secondary practice location in St Augustine Beach and lists Scott R Michaels, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1891298790
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFM MEDICAL CLINIC LLC
Location Address165 SOUTHPARK BLVDSt Augustine, FL 32086-4101
Mailing Address165 Southpark BlvdSt Augustine, FL 32086-4101 · (904) 823-8833 · Fax (904) 823-9394
Phone(904) 823-8833
Fax(904) 823-9394
Organization SubpartNo
Authorized OfficialScott R MichaelsClinic Director · (904) 823-8833
Enumeration DateMarch 16, 2018
Last NPPES UpdateMarch 17, 2018
✔ NPI 1891298790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
165 SOUTHPARK BLVD, St Augustine, FL 32086
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Secondary Practice Location 1

Location 13560 AIA SouthST AUGUSTINE Beach, FL 32086 · Phone (904) 823-8833 ext. 103 · Fax (904) 823-9394

Other Identifiers 1

OtherM242796603210FL · Drivers Licenses

Other Providers at the Same Location NPPES 14

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

FM MEDICAL
Clinic/Center (Multi-Specialty)
165 SOUTHPARK BLVD, SUITE C & D
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8833
MRS. ANNETTE ZAVRO LMHC
Counselor (Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. JANET GRISWOLD LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. LISA REISDORF BISHOP
Counselor (Mental Health)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
JENNY LING
Massage Therapist
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (347) 543-1923
MS. DENISE J NEALEY MS
Counselor
165 SOUTHPARK BLVD, SUITE C
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MR. JAMES WILSON DAMIANI RN
Registered Nurse (Psychiatric/Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MS. LINDA G GIACOBBE LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597

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 Fm Medical Clinic LLC's NPI number?

The NPI number for Fm Medical Clinic LLC is 1891298790. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Fm Medical Clinic LLC located?

Fm Medical Clinic LLC is located at 165 Southpark Blvd, St Augustine, FL 32086. The listed phone number is (904) 823-8833.

What is Fm Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fm Medical Clinic LLC was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.