St. Augustine Pediatric Associates, Pa in St Augustine - Pediatrics
St. Augustine Pediatric Associates, Pa - NPI 1629286299
St. Augustine Pediatric Associates, Pa is a Pediatrics in St Augustine, Florida. St. Augustine Pediatric Associates, Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for St. Augustine Pediatric Associates, Pa is 1629286299. The last update date is 2015-08-17.
St. Augustine Pediatric Associates, Pa's current location address is 1301 Plantation Island Dr S, St Augustine, Florida. You can contact this provider via phone number 9044618906 and fax number 9044617575. The mailing address for St. Augustine Pediatric Associates, Pa is 1301 Plantation Island Dr S, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Augustine Pediatric Associates, Pa |
|---|---|
| Address | 1301 Plantation Island Dr S, St Augustine, Florida |
| Phone Number | 9044618906 |
| Fax Number | 9044617575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Soberano Michael |
| Credentials | MD |
| Telephone Number | 9048245437 |
NPI Number Detail
| NPI Number | 1629286299 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2015-08-17 |
Provider Mailing Address Detail
| Address | 1301 Plantation Island Dr S |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320803108 |
| Phone Number | 9044618906 |
| Fax Number | 9044617575 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME78696 |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to St. Augustine Pediatric Associates, Pa by the Centers for Medicare & Medicaid Services?
The St. Augustine Pediatric Associates, Pa has been issued the NPI (National Provider Identifier) 1629286299. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St. Augustine Pediatric Associates, Pa is geographically located?
The St. Augustine Pediatric Associates, Pa is physically situated at the following location: 1301 Plantation Island Dr S, St Augustine, FL, 320803108.
What is the St. Augustine Pediatric Associates, Pa's area of specialization and corresponding taxonomy classification?
The St. Augustine Pediatric Associates, Pa's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did the St. Augustine Pediatric Associates, Pa receive its 1629286299?
The St. Augustine Pediatric Associates, Pa was issued its 1629286299 on 2007-05-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to St. Augustine Pediatric Associates, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to St. Augustine Pediatric Associates, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-17.