St Augustine Adult & Pediatric Medicine Pa in St Augustine - Pediatrics
St Augustine Adult & Pediatric Medicine Pa - NPI 1174518179
St Augustine Adult & Pediatric Medicine Pa is a Pediatrics in St Augustine, Florida. St Augustine Adult & Pediatric Medicine Pa practices all healthcare services and medical treatments related to Pediatrics. 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 | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME73431 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
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 Pediatrics, and it falls under the taxonomy code 208000000X, 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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