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

Panacea Alliance Corp

Organization Family Medicine Physician · NPI 1326298803

Panacea Alliance Corp is a Family Medicine Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1750 Tree Blvd Ste 5
St Augustine, FL 32084-5715
Phone: (904) 342-0672
Fax: (904) 342-0673
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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
Psychiatry Physician Taxonomy 2084P0800X · Licence ME83444 (FL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence ME 83444 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1326298803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eneida Gomez — Owner · (904) 342-0672
NPI enumeratedSeptember 22, 2008
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1750 Tree Blvd Ste 5, St Augustine, FL 32084-5719

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