OrganizationActive
Crescent Beach Care LLC
NPI 1033451380 · Family Medicine Physician · St Augustine, FL
Provider details
- NPI number
- 1033451380
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrian Long, Owner/Member Managed(904) 342-7363
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6573 A1a South
St Augustine, FL 32080
Phone: (904) 342-7363
Fax: (904) 342-7367
Street-level locationGet directions
Mailing address
6573 A1a South
St Augustine, FL 32080
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.