St Augustine Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1689 Issued in FL

Legal business name

ST AUGUSTINE MEDICAL EQUIPMENT LLC

Practice address

105 Southpark Blvd
Ste A101
St Augustine, FL 32086

Phone

(904) 829-1799

Fax

(904) 829-0549

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian S Kaman

Title

Owner Partner

Phone

(904) 829-1799

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1467532697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD",
            "address_2": "STE A101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-829-1799",
            "fax_number": "904-829-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD",
            "address_2": "STE A101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-829-1799",
            "fax_number": "904-829-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "KAMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "904-829-1799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025524600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R9312",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Augustine Cardiology Associates PA
• St Augustine Cardiology LLC
• St Augustine Endoscopy Center LLC
• St Augustine FL Opco LLC
• St Augustine FL Opco LLC
• St Augustine Neurology PA
• St Augustine Oral & Facial Surgical Center PA
• St Augustine Physical Medicine
• St Augustine Physicians Associates Inc
• St Augustine Physicians Associates Inc.

• Durable Medical Equipment & Medical Supplies in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.