Julie Lynn Flick, M.D.
Individual provider Active NPI Family Medicine Physician · St Augustine, FL
NPI 1376510909 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1376510909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME101304 (FL)
- Practice address
- 3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665 - Phone
- (904) 671-8333
- Fax
- (833) 329-1494
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180228001245 | FL | Order and Referring Only - Family Practice |
6709776735 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101304 | FL | MD | Family Medicine Physician |
| 3373 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Health LLC | Current |
Accepting new patients | |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
Locations
3740 International Golf Pkwy
#100
Saint Augustine, FL 32092
Phone (904) 547-8884
Interoperability endpoints
- julie.flick.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME101304 | FL | Yes |
Addresses
Primary practice location
3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665
Mailing address
3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665
Phone (904) 671-8333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281285100 | Medicaid | FL |
Other providers in St Augustine, FL
- Flagler Professional Health Care Services, Inc.
- Flagler Professional Health Care Services, Inc.
- Flagler Professional Health Care Services, Inc.
- Flagler Psychiatric Associates
- Katherine Daly Flechaus
- Flo Yoga Spa
- Florida Autism Center
- Florida Center for Dermatology, P.a.
- Florida Center for TMS
- Florida Department of Health
All providers in St Augustine, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.