OrganizationActive
Fm Medical
NPI 1053652099 · Multi-Specialty Clinic/Center · St Augustine, FL
Provider details
- NPI number
- 1053652099
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Michaels, Owner(904) 823-8833
- License
- ME106486 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
165 Southpark Blvd
Suite C & D
St Augustine, FL 32086-4101
Phone: (904) 823-8833
Fax: (904) 823-9394
Street-level locationGet directions
Mailing address
165 Southpark Blvd
St Augustine, FL 32086-4101
Registry dates
- Enumerated
- 2013-03-14
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.