Augustine Health Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AUGUSTINE HEALTH INC

Practice address

101 E Town PL Ste 100
St Augustine, FL 32092-2726

Phone

(904) 763-1400

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Goran Mladen

Title

Co-Owner

Phone

(386) 871-1975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1184260432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726",
            "telephone_number": "904-763-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 US HWY 427",
            "address_2": "Unit 500",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "34748",
            "country_code": "US",
            "telephone_number": "352-816-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUGUSTINE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "MLADEN",
        "authorized_official_first_name": "GORAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-871-1975"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryona Atkins
• Atlantic Eye Institute P.a.
• Atlantic Urological Associates P a
• Atlas Physical Therapy & Sports Medicine Inc
• Kelly Auclair, APRN
• Lindsey Rahner Augustine
• John C Augustus Jr.
• Jade Austad, PT, DPT
• James Ryland Austin, PT,DPT,MTC
• Makenzie Austin

• Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.