St. Johns County School District

Specialty details in registry · St Augustine, FL

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At a glance

40 Orange St, St Augustine, FL 32084-3633

NPPES record updated Jan 27, 2026. Public records can lag behind changes at a practice.

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Practice location

40 Orange St
St Augustine, FL 32084-3633
Professional details: NPI, taxonomy & registry record
NPI1639028293
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Jan 27, 2026
Record updated
Jan 27, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

40 Orange St
St Augustine, FL 32084-3633
Phone
(904) 547-7662
Mailing address
40 ORANGE ST

ST AUGUSTINE, FL 320843633
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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