Organization Active NPI

Williemae Mind & Body Inc Dba Stretchlab First Coast

  • Health & Wellness Coach
  • St Augustine, FL
National Provider Identifier
1710850326
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
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

Updated by the provider on Sep 29, 2025

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)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • StretchLab First Coast Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.