Organization · Type 2 NPI
St. Augustine Direct Primary Care, LLC
Primary Care Clinic/Center · St. Augustine, FL
NPI number
1316807175
Active
Practice location
2200 N Ponce De Leon Blvd Ste 1
St. Augustine, FL 32084-2650
Fax (904) 877-5276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1316807175
St. Augustine Direct Primary Care, LLC's National Provider Identifier is 1316807175, issued on Nov 14, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 14, 2025.