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

Dr. Daniel J Donofrio, MD

Individual provider Family Medicine Physician · NPI 1710090915

Dr. Daniel J Donofrio, MD is a Family Practice in Saint Augustine, Florida. Qualified in 2005, 21 years ago. Practices with Crescent Beach Care, LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
21
Licensed in
FL, GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 808-4608
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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 · Licence ME106486 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA2674 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 002785 (GA)

Record details

NPI number1710090915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address130 Health Park Blvd, Saint Augustine, FL 32086-5776

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Crescent Beach Care, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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