Southlake Family Practice PA
NPI 1225247810 · Primary Care Clinic/Center · St Augustine, FL
Southlake Family Practice PA is a Primary Care Clinic/Center organization in St Augustine, FL (NPI 1225247810).
Provider details
- NPI number
- 1225247810
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Malgorzata Kaluza, Medical Director(904) 827-0788
- License
- ME79394 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2011-09-29
Frequently asked questions
- What is Southlake Family Practice PA's NPI number?
- Southlake Family Practice PA's National Provider Identifier (NPI) is 1225247810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Family Practice PA?
- Southlake Family Practice PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southlake Family Practice PA located?
- Southlake Family Practice PA's practice location on file with NPPES is 308 Kingsley Lake Dr Ste 802, St Augustine, FL 32092-3046.
- What is Southlake Family Practice PA's phone number?
- The practice phone number listed in the NPPES registry for Southlake Family Practice PA is (904) 827-0788.
- Who is the authorized official for Southlake Family Practice PA?
- The authorized official listed on Southlake Family Practice PA's NPPES record is Malgorzata Kaluza, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Family Practice PA's NPI active?
- Yes — Southlake Family Practice PA's NPI (1225247810) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.