| St. Augustine Direct Primary Care, LLC | |
|
2200 N Ponce De Leon Blvd Ste 1 St Augustine FL 32084-2650 | |
| (904) 657-5736 | |
| (904) 877-5276 |
| Full Name | St. Augustine Direct Primary Care, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2200 N Ponce De Leon Blvd Ste 1, St Augustine, Florida |
| Authorized Official Name and Position | Margaret E. Corrigan (OWNER, APRN) |
| Authorized Official Contact | 9049627815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Augustine Direct Primary Care, LLC 2200 N Ponce De Leon Blvd Ste 1 St Augustine FL 32084-2650 Ph: (904) 657-5736 | St. Augustine Direct Primary Care, LLC 2200 N Ponce De Leon Blvd Ste 1 St Augustine FL 32084-2650 Ph: (904) 657-5736 |
| NPI Number | 1316807175 |
|---|---|
| Provider Enumeration Date | 11/14/2025 |
| Last Update Date | 11/14/2025 |
| Certification Date | 11/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316807175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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