# MEDONE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDONE, PLLC
- **Other names:** MedOne at Saint Augustine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942706130
- **Legal business name:** MEDONE, PLLC
- **Authorized official:** CRYSTAL BURNHAM (ADMIN)
- **Authorized official phone:** (352) 694-6331

## Contact information

- **Practice address:** 841 S PONCE DE LEON BLVD STE 4&5, SAINT AUGUSTINE, FL 32084-6007
- **Practice address phone:** (352) 694-6331
- **Practice address fax:** (352) 694-6338
- **Mailing address:** 841 S PONCE DE LEON BLVD STE 4, ST AUGUSTINE, FL 32084-6008
- **Mailing address phone:** (904) 907-2229
- **Mailing address fax:** (904) 342-8902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2018
- **Last updated:** 08/12/2026
