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Southlake Family Practice PA

Primary Care Clinic/Center in St Augustine, FL · enumerated 2007 · authorized official Malgorzata Kaluza, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225247810

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Registry record

Entity type Organization (Type 2)
Legal business name Southlake Family Practice PA
Practice address 308 Kingsley Lake Dr Ste 802, St Augustine, FL, 32092
Phone (904) 827-0788
Enumeration date May 21, 2007
Last updated in NPPES Sep 29, 2011

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License ME79394 (FL) Primary

Authorized official

Name Malgorzata Kaluza
Title Medical Director
Phone (904) 827-0788

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southlake Family Practice PA?
The NPI for Southlake Family Practice PA is 1225247810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southlake Family Practice PA?
NPPES lists Malgorzata Kaluza (Medical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-29.