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

St Augustine Primary Care P L

Organization Family Medicine Physician · NPI 1760654370

St Augustine Primary Care P L is a Family Medicine Physician in St Augustine, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

811 State Road 206 E Ste 3
St Augustine, FL 32086-4869
Phone: (904) 342-2989
Fax: (904) 824-6243
Show map & directions

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

Additional practice locations (1)

  • 105 Mariner Health Way Ste 203, St Augustine, FL 32086-3251 — (904) 342-2989

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40261 (FL)

Record details

NPI number1760654370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Raymaker — Owner · (904) 342-2989
NPI enumeratedMarch 24, 2008
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 3123, St Augustine, FL 32085-3123

Other providers in St Augustine