Active NPI
Robert Christopher Scalise, DO
- Occupational Medicine Clinic/Center
- Ponte Vedra, FL
National Provider Identifier
1700340106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- 5101018005
- Practice address
- 71 Potters Mill TRL
Ponte Vedra, FL 32081-1200 - Phone
- (619) 882-9148
- NPI assigned
- Jan 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 5101018005 | MI | |
| Occupational Medicine Clinic/Center | 261QX0100X | 5101018005 | MI | Primary |
Addresses
Primary practice location
71 Potters Mill TRL
Ponte Vedra, FL 32081-1200
Mailing address
964 Ajax Street
Medical Clinic, Occupational Health
Jacksonville, FL 32212
Phone (904) 542-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101018005 | Other | MI | MICHIGAN STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018005 | MI | MD | Occupational Medicine Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1700340106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 AJAX STREET",
"address_2": "MEDICAL CLINIC, OCCUPATIONAL HEALTH",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "904-542-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 POTTERS MILL TRL",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320811200",
"telephone_number": "619-882-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALISE",
"first_name": "ROBERT",
"middle_name": "CHRISTOPHER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-30",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "MI",
"license": "5101018005",
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "MI",
"license": "5101018005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN STATE MEDICAL LICENSE",
"identifier": "5101018005",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.