NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

Doing business as Flagler Health Pediatrics

  • Pediatrics Physician
  • St Augustine, FL
National Provider Identifier
1487218939
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
Flagler Health Pediatrics
Practice address
120 Palencia Village Dr Ste 108
St Augustine, FL 32095-8553
Phone
(904) 819-3200
Fax
(904) 819-3201
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
John Franks
Title
Delegated Official
Phone
(904) 819-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

120 Palencia Village Dr Ste 108
St Augustine, FL 32095-8553

Mailing address

PO Box 3266
St Augustine, FL 32085-3266
Phone (904) 819-4602

Other practice location 1

70 Turin Ter Ste 220
St Augustine, FL 32092-0850
Phone (904) 819-3000

Other names 1

  • Flagler Health Pediatrics Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1487218939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4602",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PALENCIA VILLAGE DR STE 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958553",
            "telephone_number": "904-819-3200",
            "fax_number": "904-819-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Turin Ter Ste 220",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320920850",
            "country_code": "US",
            "telephone_number": "904-819-3000",
            "fax_number": "904-819-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "904-819-4065"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Health Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flagler Health Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.