FM MEDICAL URGENT CARE, INC. (NPI# 1053790246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053790246 |
| Entity Type | Organization |
| Organization Name | FM MEDICAL URGENT CARE, INC. |
| Practice Address |
165 Southpark Blvd Suite C St Augustine FL 32086-4101 |
| Mailing Address |
3560 A1a South St Augustine FL 32080 |
| Practice Telephone | 9048238833 |
| Mailing Telephone | 9045482273 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | DR. SCOTT ROBERT MICHAELS (MANAGER) |
| Authorized Official Telephone | 9044348196 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME117337 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | HO375Y | 01 |
| Street Address |
165 SOUTHPARK BLVD SUITE C |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352189 | Avanti Wellness Center Inc | Clinic/Center | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2006-05-12 |
| 1891298790 | Fm Medical Clinic LLC | Clinic/Center | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2018-03-16 |
| 1750836086 | Kelli Mclaughlin | Nurse Practitioner | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2016-08-16 |
| 1588091029 | Fm Medical LLC | Family Medicine | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2013-09-30 |
| 1053652099 | Fm Medical | Clinic/Center | 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086-4101 | 2013-03-14 |
| 1750680591 | Marybeth Dyckes | Massage Therapist | 165 Southpark Blvd, Suite C and D, St Augustine, FL 32086-4101 | 2011-03-18 |
| 1043535412 | Juliana Joy Farrell | Chiropractor | 165 Southpark Blvd, Suite C and D, St Augustine, FL 32086-4101 | 2010-03-29 |
| 1285877092 | Denise J Nealey | Counselor | 165 Southpark Blvd, Suite C, St Augustine, FL 32086-4101 | 2009-04-08 |
| 1073755815 | Annette Zavro | Counselor | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2009-03-25 |
| 1114169968 | Janet Griswold | Social Worker | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1568990208 | First Choice Urgent Medcare, LLC | Clinic/Center | 975 S Ponce De Leon Blvd, St Augustine, FL 32084-4278 | 2017-05-25 |
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| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.