Active NPI
Associates in Internal Medicine PA
- Legal Medicine
- Saint Augustine, FL
National Provider Identifier
1184874745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME78888
- Legal business name
- ASSOCIATES IN INTERNAL MEDICINE PA
- Practice address
- 3700 US Highway 1 S
Saint Augustine, FL 32086-7150 - Phone
- (904) 794-2464
- NPI assigned
- Sep 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Goar Delamerens, M.D.
- Title
- President
- Phone
- (904) 794-2464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME78888 | FL | Primary |
Addresses
Primary practice location
3700 US Highway 1 S
Saint Augustine, FL 32086-7150
Mailing address
3700 US Highway 1 S
Saint Augustine, FL 32086-7150
Phone (904) 794-2464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081119000591 | FL | Part B Supplier - Clinic/Group Practice | 7113087222 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Augustine, FL; Palm Coast, FL |
National Provider Directory
National Provider DirectoryLocations
385 Palm Coast Pkwy SW
Palm Coast, FL 32137
3700 US Highway 1 S
St Augustine, FL 32086
Phone (904) 429-4736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635811200000",
"number": "1184874745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 US HIGHWAY 1 S",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320867150",
"telephone_number": "904-794-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 US HIGHWAY 1 S",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320867150",
"telephone_number": "904-794-2464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN INTERNAL MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-19",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A",
"authorized_official_last_name": "DELAMERENS",
"authorized_official_first_name": "GOAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-794-2464",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME78888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.