| Island Doctors | |
|
100 Arricola Avenue St Augustine FL 32080-4515 | |
| (904) 825-4368 | |
| (904) 825-9107 |
| Full Name | Island Doctors |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Arricola Avenue, St Augustine, Florida |
| Authorized Official Name and Position | Roy H Hinman (OWNER PRESIDENT) |
| Authorized Official Contact | 9048254368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Doctors 100 Arricola Avenue St Augustine FL 32080-4515 Ph: (904) 825-4368 | Island Doctors 100 Arricola Avenue St Augustine FL 32080-4515 Ph: (904) 825-4368 |
| NPI Number | 1649383845 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 3173584174 |
|---|---|
| Medicare Enrollment ID | O20041022000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649383845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME56729 (Florida) | Primary |
| Provider Name | Julie Formoso Onofrio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619941069 PECOS PAC ID: 1658261961 Enrollment ID: I20040319000021 |
| Provider Name | Jawad S Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114034709 PECOS PAC ID: 1153315551 Enrollment ID: I20040408001606 |
| Provider Name | Frank Michael Alea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932153525 PECOS PAC ID: 6002806320 Enrollment ID: I20040526001402 |
| Provider Name | George E Sadowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508830480 PECOS PAC ID: 8628030863 Enrollment ID: I20041102000438 |
| Provider Name | April Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629043864 PECOS PAC ID: 8729040456 Enrollment ID: I20041103001000 |
| Provider Name | Laura E Reinertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750408613 PECOS PAC ID: 8820047475 Enrollment ID: I20050120000752 |
| Provider Name | Keith M Justice |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477558708 PECOS PAC ID: 3173417888 Enrollment ID: I20050202000415 |
| Provider Name | Uriel Nazario Vidal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376557223 PECOS PAC ID: 0840230702 Enrollment ID: I20050510000640 |
| Provider Name | Tammy Blankenship |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285670216 PECOS PAC ID: 3577596832 Enrollment ID: I20050916000161 |
| Provider Name | Lydia Kefalidou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508833427 PECOS PAC ID: 9335172600 Enrollment ID: I20050916000295 |
| Provider Name | Patrick J Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063525350 PECOS PAC ID: 2365461605 Enrollment ID: I20051118000566 |
| Provider Name | Yevsey M Goldberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831160977 PECOS PAC ID: 5890705289 Enrollment ID: I20060501000060 |
| Provider Name | Linda A Quinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437100187 PECOS PAC ID: 2062425077 Enrollment ID: I20060717000064 |
| Provider Name | Guylaine Legault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164584140 PECOS PAC ID: 8022017144 Enrollment ID: I20061218000469 |
| Provider Name | Jose A Aleman Gomez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740275916 PECOS PAC ID: 6305847682 Enrollment ID: I20070130000133 |
| Provider Name | Paula G Stowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891714564 PECOS PAC ID: 2163424672 Enrollment ID: I20070213000578 |
| Provider Name | Roy H Hinman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760595821 PECOS PAC ID: 6204897218 Enrollment ID: I20071003000827 |
| Provider Name | Barry F Dobies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184648495 PECOS PAC ID: 7416033436 Enrollment ID: I20080331000277 |
| Provider Name | George Schroeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265530760 PECOS PAC ID: 7315913696 Enrollment ID: I20081118000879 |
| Provider Name | Sharol A Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124256532 PECOS PAC ID: 7315085065 Enrollment ID: I20091117000586 |
| Provider Name | Zaw Myint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225295728 PECOS PAC ID: 6507981727 Enrollment ID: I20100913000031 |
| Provider Name | Brendaliz Asencio |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780768978 PECOS PAC ID: 2860481611 Enrollment ID: I20120821001037 |
| Provider Name | Teresa Marie Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154391753 PECOS PAC ID: 5698926269 Enrollment ID: I20121107000267 |
| Provider Name | Gary Enrique Morales-geraldino |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083998090 PECOS PAC ID: 5799008967 Enrollment ID: I20141218001515 |
| Provider Name | Carlos Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992909329 PECOS PAC ID: 9830327667 Enrollment ID: I20151121000046 |
| Provider Name | Nancy D Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477650570 PECOS PAC ID: 2062319403 Enrollment ID: I20160223001935 |
| Provider Name | Robert A Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568514701 PECOS PAC ID: 1557398179 Enrollment ID: I20160720000190 |
| Provider Name | Teodoro Medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093852113 PECOS PAC ID: 5890785463 Enrollment ID: I20160720002795 |
| Provider Name | Julie Ann Bom Conselho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356899587 PECOS PAC ID: 2062700552 Enrollment ID: I20161017001720 |
| Provider Name | Carlos Olivera Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902845423 PECOS PAC ID: 1759387046 Enrollment ID: I20161205001617 |
| Provider Name | Enercida Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912985789 PECOS PAC ID: 9335180934 Enrollment ID: I20170617000000 |
| Provider Name | Barry A Kusnick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194788117 PECOS PAC ID: 5698778983 Enrollment ID: I20171206003018 |
| Provider Name | Fernando J Arzola Collazo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225135346 PECOS PAC ID: 1456537166 Enrollment ID: I20180123002378 |
| Provider Name | Shannon Thor Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548765993 PECOS PAC ID: 2769738418 Enrollment ID: I20180710003840 |
| Provider Name | Luis Marrero Abascal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326209073 PECOS PAC ID: 2769609510 Enrollment ID: I20180821001144 |
| Provider Name | Eric Frances Thoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932201944 PECOS PAC ID: 5294008041 Enrollment ID: I20181029001942 |
| Provider Name | Crystal M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053323584 PECOS PAC ID: 8426056730 Enrollment ID: I20181101002097 |
| Provider Name | Yesenia E Justiniano Rosario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508002395 PECOS PAC ID: 0941336408 Enrollment ID: I20181203003207 |
| Provider Name | Juan Santiago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518930155 PECOS PAC ID: 5092051904 Enrollment ID: I20190115000956 |
| Provider Name | Alexa Wu-chavez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457334757 PECOS PAC ID: 5991718033 Enrollment ID: I20190507000085 |
| Provider Name | Brittney Alise Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912469230 PECOS PAC ID: 8325372600 Enrollment ID: I20190619002764 |
| Provider Name | Alex Ramon Taveras-cruz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780645903 PECOS PAC ID: 4789652363 Enrollment ID: I20200211000929 |
| Provider Name | Ayoola W Olajide |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366920761 PECOS PAC ID: 8426392218 Enrollment ID: I20200325000835 |
| Provider Name | Lee William Elgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740796770 PECOS PAC ID: 8022367671 Enrollment ID: I20200505001817 |
| Provider Name | Sara Marie Ocampo Denslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669092110 PECOS PAC ID: 0749601664 Enrollment ID: I20200602000898 |
| Provider Name | Michael Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740741495 PECOS PAC ID: 1557783636 Enrollment ID: I20200618000077 |
| Provider Name | Khaled Ibrahim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497108393 PECOS PAC ID: 7113349663 Enrollment ID: I20200630000065 |
| Provider Name | Alexandra Feliz Camilo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346807625 PECOS PAC ID: 8123431368 Enrollment ID: I20210225000616 |
| Provider Name | Luis Antonio Moreno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538372958 PECOS PAC ID: 6507267473 Enrollment ID: I20210629003058 |
| Provider Name | Kortney Winkleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295408482 PECOS PAC ID: 1557767373 Enrollment ID: I20210902001371 |
| Provider Name | Luis F Cordero Segundo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922204478 PECOS PAC ID: 7517221419 Enrollment ID: I20211020003261 |
| Provider Name | Luis Raul Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487605432 PECOS PAC ID: 4486612512 Enrollment ID: I20220110001226 |
| Provider Name | Jolene D Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295496180 PECOS PAC ID: 0840684791 Enrollment ID: I20220218001590 |
| Provider Name | Shequita Docken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265811616 PECOS PAC ID: 5597160614 Enrollment ID: I20220707002942 |
| Provider Name | Gautam Ganguly |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669849824 PECOS PAC ID: 4688950066 Enrollment ID: I20220721001788 |
| Provider Name | Kelly J. Lemaire |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730738790 PECOS PAC ID: 9739563321 Enrollment ID: I20220831001033 |
| Provider Name | Richard Deandrea |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699718551 PECOS PAC ID: 6800870551 Enrollment ID: I20220905000450 |
| Provider Name | Uma Durairaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891404380 PECOS PAC ID: 1759750300 Enrollment ID: I20221205000033 |
| Provider Name | Canice Chukwuocha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376151472 PECOS PAC ID: 5395154447 Enrollment ID: I20221215000922 |
| Provider Name | Laura Rodriguez Figueroa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518287622 PECOS PAC ID: 2163603382 Enrollment ID: I20221227002015 |
| Provider Name | Emmanuel Alejandro Garcia Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841725389 PECOS PAC ID: 7719344134 Enrollment ID: I20230530003364 |
| Provider Name | Stephanie Concepcion |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114137510 PECOS PAC ID: 3072827997 Enrollment ID: I20230627002211 |
| Provider Name | Harison Rafael Parra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871244848 PECOS PAC ID: 2860856994 Enrollment ID: I20230907004448 |
Mainland Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arricola Ave, St Augustine, FL 32080 Phone: 904-825-4368 Fax: 904-825-9107 | |
Flagler Health Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Palencia Village Dr Ste 107, St Augustine, FL 32095 Phone: 904-819-3200 Fax: 904-819-3201 | |
Hospitalist Medicine Physicians Of Mississippi-tcs, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 615-377-5658 | |
Fm Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086 Phone: 904-823-8833 Fax: 904-823-9394 | |
Northeast Florida Endocrine And Diabetes Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Plantation Island Dr S, Suite 1, St Augustine, FL 32080 Phone: 904-384-2240 Fax: 394-384-6055 | |
David B. Goldberg, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Family Medical Care Of St Augustine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-7773 |