Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Florida Primary Care and Sports Medicine, Inc

Organization Family Medicine Physician · NPI 1548819741

Florida Primary Care and Sports Medicine, Inc provides Family Medicine Physician services in Palm Coast, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone: (386) 597-2829
Fax: (386) 313-1923
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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
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1548819741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Shaw — Administrator · (386) 447-6615
NPI enumeratedSeptember 10, 2019
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address6 Office Park Dr, Palm Coast, FL 32137-3808

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