Organization Active NPI

Medforce Clinical Solutions PLLC

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1124939434
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDFORCE CLINICAL SOLUTIONS PLLC
Practice address
93 Silverleaf Village Dr
Saint Augustine, FL 32092-3192
Phone
(904) 875-7136
Fax
(904) 978-1138
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Odom, APRN
Title
Owner/Ceo
Phone
(904) 891-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

93 Silverleaf Village Dr
Saint Augustine, FL 32092-3192

Mailing address

1775 US Highway 1 S # 1058
Saint Augustine, FL 32084-4238
Phone (904) 875-7136

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1124939434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 US HIGHWAY 1 S # 1058",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844238",
            "telephone_number": "904-875-7136",
            "fax_number": "904-978-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SILVERLEAF VILLAGE DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923192",
            "telephone_number": "904-875-7136",
            "fax_number": "904-978-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORCE CLINICAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-891-1323",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.