Suada Muminovic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036245 Issued in FL

Practice address

533 W Twincourt TRL Ste And702
Saint Augustine, FL 32095-8884

Phone

(904) 990-0028

NPI assigned

Jan 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Ackerman Cancer Center, PA

  • Radiation Oncology Physician
  • St Augustine, FL
  • NPI 1750175501
  Medicare reassignment NPD
• Ackerman Cancer Center, PA

  • Urology Physician
  • Jacksonville, FL
  • NPI 1013542919
  NPD

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1487463501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13826 ZION GATE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240283",
            "telephone_number": "904-514-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W TWINCOURT TRL STE AND702",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958884",
            "telephone_number": "904-990-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10881 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322236612",
            "country_code": "US",
            "telephone_number": "904-880-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMINOVIC",
        "first_name": "SUADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa D Muller, LMHC
• Andrew Steven Mullet, DDS
• Debra Sue Mullin, MS CCC SLP
• Douglas Albert Mullin, PTA
• Janet R. Mullins, PSYD
• Sarah Colson Mundell, DPT
• Haley Mundy
• Marco Muniz, D.O., M.P.H.
• Alysia Muoio, M.S. CF-SLP
• Murphy Chiropractic Health Center, LLC

• Family Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.