NPIMap

Individual provider Active NPI

Douglas Senecal, PA

  • Physician Assistant
  • St Augustine, FL
National Provider Identifier
1184691123
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103241 Issued in FL
Practice address
110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone
(904) 823-3401
Fax
(904) 829-8649
NPI assigned
Mar 8, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103241 FL Primary

Addresses

Primary practice location

110 Health Park Blvd
Saint Augustine, FL 32086-5776

Mailing address

PO Box 740861
Atlanta, GA 30374-0861

Other practice location 1

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 392-4541

Other practice location 2

70 Turin Ter Ste 210
Saint Augustine, FL 32092-0850
Phone (904) 819-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000006 FL Practitioner - Physician Assistant 2264322429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Apr 23, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 23, 2025 Accepting new patients
Nes of Florida Inc Past Accepting new patients
Flagler Professional Health Care Services, Inc. Physician Assistant Past Accepting new patients
Nes of Northern Florida Inc Past Accepting new patients
Nes of Florida Inc Past Accepting new patients
Synergetic Healings LLC Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

110 Health Park Blvd
St Augustine, FL 32086
Phone (904) 823-3401

70 Turin Ter
Ste 210
St Augustine, FL 32092
Phone (904) 342-8300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: dsenecal743033@direct.shands.ufl.edu

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1184691123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740861",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740861",
            "fax_number": "904-819-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-823-3401",
            "fax_number": "904-829-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-392-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Turin Ter Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320920850",
            "country_code": "US",
            "telephone_number": "904-819-7200",
            "fax_number": "904-819-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENECAL",
        "first_name": "DOUGLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.