St Augustine Adult & Pediatric Medicine Pa in St Augustine - Internal Medicine
St Augustine Adult & Pediatric Medicine Pa - NPI 1174518179
St Augustine Adult & Pediatric Medicine Pa is a Internal Medicine in St Augustine, Florida. St Augustine Adult & Pediatric Medicine Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for St Augustine Adult & Pediatric Medicine Pa is 1174518179. The last update date is 2010-11-10.
St Augustine Adult & Pediatric Medicine Pa's current location address is 67 S Dixie Hwy, St Augustine, Florida. You can contact this provider via phone number 9048270032 and fax number 9048270985. The mailing address for St Augustine Adult & Pediatric Medicine Pa is 67 S Dixie Hwy, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Augustine Adult & Pediatric Medicine Pa |
|---|---|
| Address | 67 S Dixie Hwy, St Augustine, Florida |
| Phone Number | 9048270032 |
| Fax Number | 9048270985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Bhide Y Vandana |
| Credentials | MD |
| Telephone Number | 9048270032 |
NPI Number Detail
| NPI Number | 1174518179 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2010-11-10 |
Provider Mailing Address Detail
| Address | 67 S Dixie Hwy |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320840317 |
| Phone Number | 9048270032 |
| Fax Number | 9048270985 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME73431 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252533000 | FL | -- | |
| 41496 | BCBS | ||
| 110169538 | RR MC |
Post Comment/ Review Below
What is the St Augustine Adult & Pediatric Medicine Pa's unique identification number?
The St Augustine Adult & Pediatric Medicine Pa has been assigned the NPI (National Provider Identifier) Number 1174518179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where St Augustine Adult & Pediatric Medicine Pa's facilities are geographically located?
The facilities of St Augustine Adult & Pediatric Medicine Pa are physically situated at the following location: 67 S Dixie Hwy, St Augustine, FL, 320840317.
What is the St Augustine Adult & Pediatric Medicine Pa's area of specialization and corresponding taxonomy classification?
The St Augustine Adult & Pediatric Medicine Pa's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did St Augustine Adult & Pediatric Medicine Pa receive its 1174518179 assignment from the Centers for Medicare & Medicaid Services?
The St Augustine Adult & Pediatric Medicine Pa was assigned its 1174518179 on 2005-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to St Augustine Adult & Pediatric Medicine Pa most recently updated or refreshed?
The details pertaining to the St Augustine Adult & Pediatric Medicine Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-10.
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