ST AUGUSTINE MEDICAL EQUIPMENT LLC (NPI# 1467532697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467532697 |
| Entity Type | Organization |
| Organization Name | ST AUGUSTINE MEDICAL EQUIPMENT LLC |
| Practice Address |
105 Southpark Blvd Ste A101 St Augustine FL 32086 |
| Practice Telephone | 9048291799 |
| Practice Fax Number | 9048290549 |
| Mailing Telephone | 9048291799 |
| Mailing Fax Number | 9048290549 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MR. BRIAN S KAMAN (OWNER PARTNER) |
| Authorized Official Telephone | 9048291799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1689 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | R9312 | 01 |
| FL | 025524600 | 05 |
| Street Address |
105 SOUTHPARK BLVD STE A101 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987805 | Brett Cutler | Podiatrist | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-4162 | 2005-07-29 |
| 1043618077 | Cynthia Washington | Nurse Practitioner | 105 Southpark Blvd, C-300, St Augustine, FL 32086-5191 | 2014-12-08 |
| 1073870341 | Florida Center for Dermatology, P.a. | Dermatology | 105 Southpark Blvd, Suite A103, St Augustine, FL 32086-5191 | 2012-04-11 |
| 1215253893 | St. Augustine Foot & Ankle, Inc. | Non-Pharmacy Dispensing Site | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-5191 | 2010-04-08 |
| 1164676367 | Margaret E Martin | Nurse Practitioner | 105 Southpark Blvd, Suite C-300, St Augustine, FL 32086-5191 | 2008-11-14 |
| 1194927640 | Brett Cutler Dpm Pa | Podiatrist | 105 Southpark Blvd, Suite A103, St Augustine, FL 32086-4162 | 2007-06-05 |
| 1144383746 | Ouch, Pa | Specialist | 105 Southpark Blvd, Suite C 300, St Augustine, FL 32086-4162 | 2006-12-18 |
| 1164532552 | Alice G Beard | Physician Assistant | 105 Southpark Blvd, A103, St Augustine, FL 32086-5191 | 2006-08-30 |
| 1801828553 | Jyoti Patel | Anesthesiology | 105 Southpark Blvd, Ste C-300, St Augustine, FL 32086-4162 | 2006-07-06 |
| 1649209842 | Elena Stanescu | Anesthesiology | 105 Southpark Blvd, Suite C-300, St Augustine, FL 32086-4162 | 2006-07-01 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710441100 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 300 Health Park Blvd Ste 1002, St Augustine, FL 32086-3702 | 2019-01-30 |
| 1306330741 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7462 Us Highway 1 N, St Augustine, FL 32095-8468 | 2018-06-19 |
| 1952830838 | Hanger Prosthetics & Orthotic Inc | Durable Medical Equipment & Medical Supplies | 200 Southpark Blvd Ste 209, St Augustine, FL 32086-3129 | 2017-06-05 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| 1811261969 | Vitrectomy Recovery Equipment | Durable Medical Equipment & Medical Supplies | 1509 W Windy Willow Dr, St Augustine, FL 32092-5094 | 2012-03-06 |
| 1366746695 | First Coast Mobility LLC | Durable Medical Equipment & Medical Supplies | 3975 State Road 16, St Augustine, FL 32092-0730 | 2010-12-30 |
| 1700021144 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 84 Tuscan Way, St Augustine, FL 32092-1831 | 2008-12-15 |
| 1700031812 | Stefan L. Stanescu, Md, Pa | Durable Medical Equipment & Medical Supplies | 105 Southpark Blvd Ste C300, St Augustine, FL 32086-4162 | 2008-11-18 |
| 1205084266 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5445 State Road 16, St Augustine, FL 32092-0617 | 2008-09-03 |
| 1336396647 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2801 N Ponce De Leon Blvd, St Augustine, FL 32084-1648 | 2008-08-19 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on ST AUGUSTINE MEDICAL EQUIPMENT LLC.
| 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.