Active NPI
Villages Regional Hospital Physician Services LLC
- Urgent Care Clinic/Center
- St Augustine, FL
National Provider Identifier
1083548861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
- Practice address
- 110 Health Park Blvd
St Augustine, FL 32086-5776 - Phone
- (904) 823-3401
- NPI assigned
- Jun 9, 2026
- Last updated
- Jun 30, 2026
- Organization subpart
- Yes
- Parent organization
- VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Long
- Title
- SVP & Regional President
- Phone
- (352) 323-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
110 Health Park Blvd
St Augustine, FL 32086-5776
Mailing address
110 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 823-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120400000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Villages Regional Hospital Physician Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Leesburg, FL
- NPI 1730326745
-
dba UF Health Urgent Care- Murabella
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1992639777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1083548861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865776",
"telephone_number": "904-823-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865776",
"telephone_number": "904-823-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "SVP & REGIONAL PRESIDENT",
"authorized_official_telephone_number": "352-323-5001"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120400000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Gabriella Vieira
- Stephen A Vighetti, PT, MTC, CSCS
- Vijayselwyn Davis Dhas MD (OB-GYN of St Augustine)
- Village Chiropractic Center of
- Village Pediatrics of St Augustine LLC (Village Pediatrics LLC)
- Villages Regional Hospital Physician Services LLC (UF Health Urgent Care- Murabella)
- Elizabeth Villanueva, M.S., LMHC
- Eva Villanueva, MD
- Steven Yu Villanueva, M.D.
- Sarah Nicole Villasis, M.S., CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.