Healthcare Provider Details

I. General information

NPI: 1811825318
Provider Name (Legal Business Name): DURBIN PARK HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FLAGLER HEATH WAY
ST. JOHNS FL
32259
US

IV. Provider business mailing address

400 HEALTH PARK BLVD.
ST. AUGUSTINE FL
32086
US

V. Phone/Fax

Practice location:
  • Phone: 904-819-4400
  • Fax:
Mailing address:
  • Phone: 904-819-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: WAYNE MARSHALL
Title or Position: PRESIDENT, UF HEALTH ST. JOHNS
Credential:
Phone: 904-819-4400