Organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Active
Other names
Flagler Health Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRANKS (DELEGATED OFFICIAL)
(904) 819-4065
Entity
Organization
Contact information
Practice address
120 PALENCIA VILLAGE DR STE 107, ST AUGUSTINE, FL 32095-8553
(904) 819-3200
(904) 819-3201
Mailing address
PO BOX 3266, ST AUGUSTINE, FL 32085-3266
(904) 819-4602
(904) 819-4426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/30/2019
Last updated
11/20/2020
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