# FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flagler Health Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023672573
- **Authorized official:** JOHN FRANKS (DELEGATED OFFICIAL)
- **Authorized official phone:** (904) 819-4065

## Contact information

- **Practice address:** 120 PALENCIA VILLAGE DR STE 107, ST AUGUSTINE, FL 32095-8553
- **Practice address phone:** (904) 819-3200
- **Practice address fax:** (904) 819-3201
- **Mailing address:** PO BOX 3266, ST AUGUSTINE, FL 32085-3266
- **Mailing address phone:** (904) 819-4602
- **Mailing address fax:** (904) 819-4426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 11/20/2020