| Flagler Professional Health Care Services, Inc. | |
|
120 Palencia Village Dr Ste 107 St Augustine FL 32095-8553 | |
| (904) 819-3200 | |
| (904) 819-3201 |
| Full Name | Flagler Professional Health Care Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Palencia Village Dr Ste 107, St Augustine, Florida |
| Authorized Official Name and Position | John Franks (DELEGATED OFFICIAL) |
| Authorized Official Contact | 9048194065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagler Professional Health Care Services, Inc. Po Box 3266 St Augustine FL 32085-3266 Ph: (904) 819-4602 | Flagler Professional Health Care Services, Inc. 120 Palencia Village Dr Ste 107 St Augustine FL 32095-8553 Ph: (904) 819-3200 |
| NPI Number | 1023672573 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 11/20/2020 |
| Medicare PECOS PAC ID | 4082973953 |
|---|---|
| Medicare Enrollment ID | O20190729002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023672573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Richard W Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003885088 PECOS PAC ID: 0547254625 Enrollment ID: I20040412001292 |
| Provider Name | Stacy A Thalassites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376650457 PECOS PAC ID: 0749247435 Enrollment ID: I20041214000863 |
| Provider Name | Patrick J Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063525350 PECOS PAC ID: 2365461605 Enrollment ID: I20051118000566 |
| Provider Name | Moses Muzquiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043223753 PECOS PAC ID: 2769440338 Enrollment ID: I20090209000498 |
| Provider Name | Todd James Batenhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164489845 PECOS PAC ID: 3375677677 Enrollment ID: I20111213000034 |
| Provider Name | Monica Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184856155 PECOS PAC ID: 6901051952 Enrollment ID: I20160222001787 |
| Provider Name | Sharon L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720299449 PECOS PAC ID: 8527213339 Enrollment ID: I20161119000263 |
| Provider Name | Tristan A Imhof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699123968 PECOS PAC ID: 2062708092 Enrollment ID: I20191014002967 |
| Provider Name | Aaron Tawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972034676 PECOS PAC ID: 9133483860 Enrollment ID: I20200730000643 |
| Provider Name | Leopold Kenneth Kretsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982136115 PECOS PAC ID: 2860756400 Enrollment ID: I20200925002309 |
| Provider Name | Andrew Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245103 PECOS PAC ID: 1557677747 Enrollment ID: I20210316000239 |
| Provider Name | Caitlin Bass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841723780 PECOS PAC ID: 1254769680 Enrollment ID: I20210914002151 |
| Provider Name | Mark Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740546837 PECOS PAC ID: 5193945459 Enrollment ID: I20211210002482 |
| Provider Name | Kimberly A Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862098 PECOS PAC ID: 7214086602 Enrollment ID: I20220505002378 |
| Provider Name | Heather Brooke Clair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669932380 PECOS PAC ID: 1951638352 Enrollment ID: I20220706001347 |
| Provider Name | Christine M Krajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407316797 PECOS PAC ID: 7012317381 Enrollment ID: I20220811000408 |
| Provider Name | Elizabeth Looney Di |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568824530 PECOS PAC ID: 3577856970 Enrollment ID: I20221122001189 |
| Provider Name | Ashley Elizabeth Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366029126 PECOS PAC ID: 3274079090 Enrollment ID: I20240729000852 |
| Provider Name | Fawaz Katmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477131134 PECOS PAC ID: 8628486958 Enrollment ID: I20240912004575 |
| Provider Name | Gezim Pajaziti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710700430 PECOS PAC ID: 5991233439 Enrollment ID: I20250110001825 |
| Provider Name | Steven Mark Anthony Requena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063258994 PECOS PAC ID: 7315476157 Enrollment ID: I20250402003457 |
| Provider Name | Melissa Alexandra Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669270625 PECOS PAC ID: 0446773196 Enrollment ID: I20250403000125 |
| Provider Name | Katrina Shanell General |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053156141 PECOS PAC ID: 0840713525 Enrollment ID: I20250403000445 |
| Provider Name | Maria-teresa David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013914787 PECOS PAC ID: 2961422431 Enrollment ID: I20250430000660 |
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