Your Health Primary Care of Florida, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

YOUR HEALTH PRIMARY CARE OF FLORIDA, LLC

Practice address

1301 Plantation Island Dr S Ste 303B
St Augustine, FL 32080-3117

Phone

(803) 457-5129

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

Matt Staub

Title

Chief Executive Officer

Phone

(803) 730-8910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1659114577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "803-457-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 303B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803117",
            "telephone_number": "803-457-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH PRIMARY CARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "STAUB",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-730-8910"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Young, RBT
• Joyce Ann Young, MT
• Marie Katherine Young, LPN
• Cathy A Youngstrom
• Your Health House Calls Florida LLC
• Melissa Yousif, M.S. CCC-SLP
• Youthtrack, Inc.
• Kimberlee Yselonia, LCSW
• Yuliana Zapata
• Annette Zavro, LMHC

• Primary Care Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.