Florida Primary Care and Sports Medicine, Inc.
NPI 1548819741ActiveOrganization· Family Medicine· Palm Coast, FL
Family Medicine in Palm Coast, Florida, registered in NPPES in September 2019. The authorized official on file is Ann Shaw, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548819741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2019 |
| Last updated in NPPES | Jul 1, 2025 |
| Certified by provider | Jul 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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