Active NPI
Williemae Mind & Body Inc Dba Stretchlab First Coast
- Health & Wellness Coach
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- WILLIEMAE MIND & BODY INC DBA STRETCHLAB FIRST COAST
- Practice address
- 1059 A1A Beach Blvd
St Augustine, FL 32080-6732 - Phone
- (904) 490-9242
- NPI assigned
- Sep 29, 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
- David Ramos
- Title
- Owner/President
- Phone
- (904) 490-8766
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1059 A1A Beach Blvd
St Augustine, FL 32080-6732
Mailing address
3601 Flamingo St
St Augustine, FL 32080-9114
Phone (904) 490-8766
Other practice location 1
13475 Atlantic Blvd Ste 27
Jacksonville, FL 32225-3290
Phone (904) 440-0334
Other practice location 2
11111 San Jose Blvd Ste 71
Jacksonville, FL 32223-7274
Phone (904) 637-4885
Other practice location 3
2 Fairfield Blvd Ste 4
Ponte Vedra Beach, FL 32082-4621
Phone (904) 789-3133
Other names 2
- StretchLab
- StretchLab First Coast
National Provider Directory
National Provider DirectoryLocations
11111 San Jose Blvd
Ste 71
Jacksonville, FL 32223
Phone (904) 637-4885
13475 Atlantic Blvd
Ste 27
Jacksonville, FL 32225
Phone (904) 440-0334
2 Fairfield Blvd
Ste 4
Ponte Vedra Beach, FL 32082
Phone (904) 485-0444
1059 A1A Beach Blvd
Saint Augustine, FL 32080
Phone (904) 490-9242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1710850326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 FLAMINGO ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320809114",
"telephone_number": "904-490-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1059 A1A BEACH BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806732",
"telephone_number": "904-490-9242"
}
],
"practiceLocations": [
{
"address_1": "13475 Atlantic Blvd Ste 27",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322253290",
"country_code": "US",
"telephone_number": "904-440-0334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11111 San Jose Blvd Ste 71",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322237274",
"country_code": "US",
"telephone_number": "904-637-4885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Fairfield Blvd Ste 4",
"address_purpose": "LOCATION",
"city": "Ponte Vedra Beach",
"state": "FL",
"postal_code": "320824621",
"country_code": "US",
"telephone_number": "904-789-3133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILLIEMAE MIND & BODY INC DBA STRETCHLAB FIRST COAST",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "904-490-8766"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "StretchLab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "StretchLab First Coast",
"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 Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.