Individual provider · Type 1 NPI

Courtney B. Fahnhorst Vidrine, MD

Family Medicine Physician · St. Johns, FL

NPI number 1245526466 Active

Practice location

205 Trinity Way
St. Johns, FL 32259-1155

Call (904) 410-6040 Map

Mailing address

101 Marketside Ave Ste 404
Ponte Vedra, FL 32081-1542

Specialties and licenses

Taxonomy	Code	License
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	2083P0011X	ME118350 (FL)
Family Medicine Physician Primary	207Q00000X	85566 (GA)
Family Medicine Physician	207Q00000X	ME118350 (FL)
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	207PE0005X	ME118350 (FL)
Hospitalist Physician	208M00000X	ME118350 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1245526466

Courtney B. Fahnhorst Vidrine, MD's National Provider Identifier is 1245526466, issued on Jun 27, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Johns, FL. The record was last updated on Oct 13, 2025.