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

Phoenix Cm Incorporated

Organization Case Manager/Care Coordinator · NPI 1306103353

Phoenix Cm Incorporated is a Case Manager/Care Coordinator in Saint Augustine, Florida. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

52 Tuscan Way Ste 202-142
Saint Augustine, FL 32092-1850
Phone: (904) 201-9275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1306103353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ella Russell — Executive Director · (443) 880-6124
NPI enumeratedApril 16, 2012
Last updated in NPPESApril 16, 2012
Mailing address52 Tuscan Way, Ste. 202-142, Saint Augustine, FL 32092-1850

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