Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anastasia Medical Group, LLC

Organization Internal Medicine Physician · NPI 1710940648

Anastasia Medical Group, LLC is an Internal Medicine Physician in St Augustine, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Plantation Island Dr Ste 203A
St Augustine, FL 32080
Phone: (904) 461-0821
Fax: (904) 461-0823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1710940648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suhas Neerukonda — Managing Partner · (904) 461-0343
NPI enumeratedApril 11, 2006
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address1301 Plantation Island Drive, Suite 203a, St Augustine, FL 32080

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