Active NPI
Infectious Disease Doctor
- Infectious Disease Physician
- St Augustine, FL
National Provider Identifier
1548061682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INFECTIOUS DISEASE DOCTOR
- Practice address
- 400 Healthcare Blvd
St Augustine, FL 32086-0400 - Phone
- (904) 547-2808
- Fax
- (904) 679-3169
- NPI assigned
- Mar 24, 2025
- 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
- Ms. Dani Zavasky, MD
- Title
- Owner
- Phone
- (917) 526-2311
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
400 Healthcare Blvd
St Augustine, FL 32086-0400
Mailing address
400 Moultrie Landing Unit 9205
St Augustine, FL 32086-6184
Phone (904) 547-2808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250512002120 | FL | Part B Supplier - Clinic/Group Practice | 4789101817 |
Receives reassigned benefits from 1 practitioner Practice locations: St Augustine, FL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1548061682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MOULTRIE LANDING UNIT 9205",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866184",
"telephone_number": "904-547-2808",
"fax_number": "904-679-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTHCARE BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320860400",
"telephone_number": "904-547-2808",
"fax_number": "904-679-3169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASE DOCTOR",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-24",
"last_updated": "2025-05-07",
"status": "A",
"authorized_official_last_name": "ZAVASKY",
"authorized_official_first_name": "DANI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-526-2311",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Iest. Augustine Youth Services
- Impactful Speech Therapy and Coaching LLC
- Melissa Marie Impallomeni, NP-C
- In Balance Physical Therapy
- In Motion Physical Therapy LLC
- Infectious Diseases Associates of North Florida, P.a.
- Innovo Chiropractic LLC
- Institute of Internal Medicine P a
- Integrated Community Oncology Network LLC
- Integrated Community Oncology Network LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.