| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1225560949 | DAVID M BORTNICK PHD PSY D PA | PO BOX 3123 | ST AUGUSTINE | FL | 320853123 | |||
| 1326298803 | ENEIDA GOMEZ MD PA | PO BOX 3123 | ST AUGUSTINE | FL | 320853123 | |||
| 1356308530 | BORTNICK | DAVID | M | PO BOX 3123 | ST AUGUSTINE | FL | 320853123 | |
| 1508151846 | FITTS | ANGELA | DIANE | 1097 DORADO DR | ST AUGUSTINE | FL | 320867086 | |
| 1366431835 | GOMEZ | ENEIDA | PO BOX 3123 | SAINT AUGUSTINE | FL | 320853123 |