St Augustine Adult & Pediatric Medicine Pa
Pediatrics
St Augustine Adult & Pediatric Medicine Pa is a St Augustine, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
67 S Dixie Hwy, St Augustine, Florida - 32084-0317. They can be contacted on phone at
904-827-0032 and fax number 904-827-0985.
NPI number (Unique professional ID) for St Augustine Adult & Pediatric Medicine Pa is
1174518179 which was assigned by NPPES on 15 Sep, 2005 and it was last updated on 10 Nov, 2010.
St Augustine Adult & Pediatric Medicine Pa license number is
ME73431 for Pediatrics (208000000X) in Florida.
St Augustine Adult & Pediatric Medicine Pa 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:
St Augustine Adult & Pediatric Medicine Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | St Augustine Adult & Pediatric Medicine Pa |
|---|
Business Address:
St Augustine Adult & Pediatric Medicine Pa 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 : | 67 S Dixie Hwy
St Augustine, FL, 32084-0317
United States |
|---|
| Phone Number : | 904-827-0032 |
|---|
| Fax Number : | 904-827-0985 |
|---|
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 : | 1174518179 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 15 Sep, 2005 |
|---|
| Last Updated On : | 10 Nov, 2010 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Vandanay Bhide |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | MD |
|---|
| Phone Number : | 904-827-0032 |
|---|
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 St Augustine Adult & Pediatric Medicine Pa are as mentioned. Primary taxonomy code for St Augustine Adult & Pediatric Medicine Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | ME73431 | FL |
| 208000000X | Pediatrics | Yes | ME73431 | FL |
Legacy Identifiers:
Other legacy medical identifiers of St Augustine Adult & Pediatric Medicine Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110169538 | Other | | RR MC |
| 252533000 | MEDICAID | FL | |
| 41496 | Other | | BCBS |
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 : | 67 S Dixie Hwy
St Augustine, FL, 32084-0317
United States |
|---|
| Phone Number : | 904-827-0032 |
|---|
| Fax Number : | 904-827-0985 |
|---|
Business Location:
Patients can refer following map for directions to
St Augustine Adult & Pediatric Medicine Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.