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

Physician Associates Group, Inc

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1730549817

Physician Associates Group, Inc is an Addiction Medicine (Psychiatry & Neurology) Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Plantation Island Dr S Ste 201-A
St Augustine, FL 32080-3108
Phone: (904) 342-5965
Show map & directions

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

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X · Licence ME88707 (FL)

Record details

NPI number1730549817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Mirabile — Medical Doctor · (904) 342-5965
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016
Mailing address1301 Plantation Island Dr S, Suite 201-A, St Augustine, FL 32080-3108