Fresh Start Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FRESH START HEALTH, LLC

Doing business as

Fresh Start Health (DBA: DCOA, St. Aug)

Practice address

425 W Town PL Ste 104
St Augustine, FL 32092-3662

Phone

(904) 217-7277

Fax

(904) 217-4668

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Foster James Cullum IV, DC

Title

Owner

Phone

(904) 217-7277

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Health (DBA: DCOA, St. Aug) Doing business as

Locations

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1982357257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923662",
            "telephone_number": "904-217-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923662",
            "telephone_number": "904-217-7277",
            "fax_number": "904-217-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CULLUM",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-217-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Health (DBA: DCOA, St. Aug)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Freeman
• Stephanie Freeman, LCSW
• Steven R. Freeman, D.D.S.
• James E Freidenstein, MD
• Rebekah Ann French, CRNA
• Jade Nicole Frick
• Jonathan Anthony Friedman, M.D.
• Shelby Friedman
• Susan Friedrich
• Friendly Faces Home and Companion Care

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.