# ST AUGUSTINE MEDICAL EQUIPMENT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467532697
- **Authorized official:** MR. BRIAN S KAMAN (OWNER PARTNER)
- **Authorized official phone:** (904) 829-1799

## Contact information

- **Practice address:** 105 SOUTHPARK BLVD, STE A101, ST AUGUSTINE, FL 32086
- **Practice address phone:** (904) 829-1799
- **Practice address fax:** (904) 829-0549
- **Mailing address:** 105 SOUTHPARK BLVD, STE A101, ST AUGUSTINE, FL 32086
- **Mailing address phone:** (904) 829-1799
- **Mailing address fax:** (904) 829-0549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1689 | FL | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 12/13/2011