KYLE CLINIC NPI 1811056310

NPI Information

  • NPI: 1811056310
  • Provider Name: KYLE CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1110 A1A N STE 101
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 280-8657

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NPI Details

KYLE CLINIC is a family medicine in Ponte Vedra Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KYLE CLINIC NPI is 1811056310. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1110 A1A N STE 101
PONTE VEDRA BEACH, FL
ZIP 32082-071
Phone: (904) 280-8657
Fax: (904) 280-8659

The provider's authorized official is Stacy Lawrence .
The authorized official title is Office Manager and has the following contact phone number (904) 280-8657.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME83612FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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