Healthcare Provider Details

I. General information

NPI: 1811775067
Provider Name (Legal Business Name): HEALTH FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 W KING ST
ST AUGUSTINE FL
32084-8720
US

IV. Provider business mailing address

667 W KING ST
ST AUGUSTINE FL
32084-8720
US

V. Phone/Fax

Practice location:
  • Phone: 904-257-5050
  • Fax: 904-907-2230
Mailing address:
  • Phone: 904-257-5050
  • Fax: 904-907-2230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MITESH PATEL
Title or Position: OWNER/PHARMACY DIRECTOR
Credential:
Phone: 904-996-0727