FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.


Address: 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081
Phone: 9048194602

FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC. (NPI# 1093325987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093325987
Entity Type Organization
Organization Name FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Practice Address 351 Town Plaza Avenue
101
Ponte Vedra
FL 32081
Mailing Address Po Box 3266
St Augustine
FL 32085-3266
Practice Telephone 9048194602
Mailing Telephone 9048194602
Mailing Fax Number 9048194426
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Authorized Official Name JOHN WELLS FRANKS (DELEGATED OFFICIAL)
Authorized Official Telephone 9048194065
Is Organization Subpart Y
Parent Organization Name FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians
N 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities
N 261QR0206X Clinic/Center
Specialization: Radiology, Mammography
Ambulatory Health Care Facilities
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Flagler Health Imaging Clinic/Center Radiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033763487 Flagler Professional Health Care Services Inc. Surgery 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 2019-07-24

Office Location

Street Address 351 TOWN PLAZA AVENUE
101
City PONTE VEDRA
State FL
Zip Code 32081

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396379780 Blue Water Health and Wellness LLC Clinic/Center 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 2020-02-25
1407489743 Flagler Professional Health Care Services, Inc. Radiology 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 2020-02-14
1609424217 North Florida Pediatrics, Pa Pediatrics 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 2019-08-27
1588121487 Donald A. Barnhorst Jr. Md Pa Eyewear Supplier (Equipment, not the service) 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 2019-02-27
1770056996 Kelsey Rosenblum Specialist/Technologist 122 Princess Drive, Ponte Vedra, FL 32081 2019-01-10
1609364884 Turner Telemedicine, Pllc Family Medicine 102 Queensland Cir, Ponte Vedra, FL 32081 2018-04-24
1649705914 Catherine Julia Seidle Nurse Practitioner 20 Rialto Drive, Ponte Vedra, FL 32081 2017-04-25
1366988743 Comfortable Care Dental Health Professionals, Pa Dentist 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 2017-01-10
1053776872 Brittany Jones Social Worker 98 Skylar Lane, Ponte Vedra, FL 32081 2015-12-21
1194191692 Ponte Vedra Pediatric Dentistry and Orthodontics Dentist 480 Town Plaza Avenue, Suite 110, Ponte Vedra, FL 32081 2015-08-19
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1942751110 Upscale Ultrasound & Mobile 3d 4d, LLC Clinic/Center 145 Hilden Rd, Ste 113, Ponte Vedra, FL 32081-8401 2016-10-21

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1659990364 Provectus Health LLC Clinic/Center 3972 Durksly Dr, Melbourne, FL 32940-1286 2020-04-13
1619500881 Adventhealth West Florida Imaging, Inc. Clinic/Center 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 2020-02-17
1831736768 Bria Group Inc Clinic/Center 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 2019-12-10
1235770686 Clermont Radiology LLC Clinic/Center 18 Ne 1st Ave, Ocala, FL 34470-6658 2019-10-07
1609422146 Dis of Tampa Bay Inc Clinic/Center 3635 W Waters Ave, Tampa, FL 33614-2783 2019-08-12
1245891209 Ohri, LLC Clinic/Center 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 2019-06-21
1417518481 Ohri, LLC Clinic/Center 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 2019-06-21
1093273971 Alfa Diagnostic LLC Clinic/Center 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 2019-03-09
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Competitor

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City PONTE VEDRA
Zip Code 32081

Improve Information

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Dataset Information

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.

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