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

Jax Family Health Clinic PLLC

Organization Family Medicine Physician · NPI 1326914045

Jax Family Health Clinic PLLC is a Family Medicine Physician in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Land Grant St Ste 6
St Augustine, FL 32092-2262
Phone: (904) 999-4684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1326914045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Subhadra Chereddy — Ceo · (904) 999-4684
NPI enumeratedOctober 13, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address130 Land Grant St Ste 6, St Augustine, FL 32092-2262

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