NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

Doing business as UF Health Urgent Care-Flagler Hospital

  • Urgent Care Clinic/Center
  • St Augustine, FL
National Provider Identifier
1811739873
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
UF Health Urgent Care-Flagler Hospital
Practice address
110 Health Park Blvd
St. Augustine, FL 32086
Phone
(904) 823-3401
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FLAGLER PROFESSIONAL HEALTH CARE SERVAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Carlton Devooght
Title
President & Ceo
Phone
(904) 819-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

110 Health Park Blvd
St. Augustine, FL 32086

Mailing address

110 Health Park Blvd
St. Augustine, FL 32086
Phone (904) 823-3401

Other names 1

  • UF Health Urgent Care-Flagler Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241003000628 FL Part B Supplier - Clinic/Group Practice 4082973953 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Saint Augustine, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2307573Uf Health Urgent Care -Flagler Hospital110 Health Park Blvd, St Augustine, FL 32086Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory
Part of
Flagler Care Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

70 Turin Ter
Ste 110
St Augustine, FL 32092
Phone (904) 819-7200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1811739873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HEALTH PARK BLVD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-823-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HEALTH PARK BLVD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-823-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLAGLER PROFESSIONAL HEALTH CARE SERV",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DEVOOGHT",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "904-819-4088"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF Health Urgent Care-Flagler Hospital",
            "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 Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.