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.
Organization
FLORIDA PRIMARY CARE AND SPORTS MEDICINE, INC.
Active
Organization
FLORIDA PRIMARY CARE AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SHAW (ADMINISTRATOR)
(386) 447-6615
Entity
Organization
Contact information
Practice address
140 PINNACLES DR, PALM COAST, FL 32164-2322
(386) 597-2829
(386) 313-1923
Mailing address
6 OFFICE PARK DR, PALM COAST, FL 32137-3808
(386) 447-6615
(386) 447-1266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
09/10/2019
Last updated
07/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers