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

Jax Family Health Clinic PLLC

Organization Family Medicine Physician · NPI 1326914045

Jax Family Health Clinic PLLC provides Family Medicine Physician services in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Land Grant St Ste 6
St Augustine, FL 32092-2262
Phone: (904) 999-4684
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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

Record details

NPI number1326914045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Subhadra Chereddy — Ceo · (904) 999-4684
NPI enumeratedOctober 13, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address130 Land Grant St Ste 6, St Augustine, FL 32092-2262

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