Dr. Michael Maxino Soberano
MD | Pediatrics | Male
Dr. Michael Maxino Soberano, MD is a St Augustine, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Michael Maxino Soberano is
493 Prosperity Lake Dr, St Augustine, Florida - 32092-5045. He can be contacted on phone at
904-824-5437 and fax number 904-824-7575.
Dr. Michael Maxino Soberano is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Maxino Soberano is
1477596377 which was assigned by NPPES on 14 Jun, 2006 and it was last updated on 09 Jul, 2020.
Dr. Michael Maxino Soberano license number is
ME78696 for Pediatrics (208000000X) in Florida.
Dr. Michael Maxino Soberano is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Michael Maxino Soberano basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Michael Maxino Soberano |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Michael Maxino Soberano address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 493 Prosperity Lake Dr
St Augustine, FL, 32092-5045
United States |
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| Phone Number : | 904-824-5437 |
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| Fax Number : | 904-824-7575 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477596377 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2006 |
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| Last Updated On : | 09 Jul, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Maxino Soberano are as mentioned. Primary taxonomy code for Dr. Michael Maxino Soberano, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME78696 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Maxino Soberano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 257545101 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 493 Prosperity Lake Dr
St Augustine, FL, 32092-5045
United States |
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| Phone Number : | 904-824-5437 |
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| Fax Number : | 904-824-7575 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Maxino Soberano practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.