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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANFORD CLINIC NORTH

Deactivated Organization

SANFORD CLINIC NORTH is a Clinical Medical Laboratory organization located in ST AUGUSTINE, Florida. NPI 1174680052 is deactivated in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · ST AUGUSTINE, FL

This NPI has been deactivated. The record was deactivated on August 5, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1174680052
Provider Type
Organization
NPI Issued
Jan 2, 2007 (13.590163934426 yrs)
Last Updated
Sep 2, 2025
Deactivated
Aug 5, 2020

Practice Information

Address
1133 OVERDALE RD
ST AUGUSTINE, FL, 320802302
Browse FL providers · Browse ZIP 32080
Phone
7014177300
Fax
7012347378
Primary Specialty
Clinical Medical Laboratory
291U00000X

Other Clinical Medical Laboratory Organizations in ST AUGUSTINE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.