St. Augustine Pediatric Associates, Pa
Pediatrics
St. Augustine Pediatric Associates, Pa is a St Augustine, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
493 Prosperity Lake Dr, St Augustine, Florida - 32092-5045. They can be contacted on phone at
904-824-5437 and fax number 904-824-7575.
NPI number (Unique professional ID) for St. Augustine Pediatric Associates, Pa is
1447461421 which was assigned by NPPES on 24 May, 2007 and it was last updated on 21 Jul, 2015.
St. Augustine Pediatric Associates, Pa license number is
ME78696 for Pediatrics (208000000X) in Florida.
St. Augustine Pediatric Associates, 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 Pediatric Associates, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | St. Augustine Pediatric Associates, Pa |
|---|
Business Address:
St. Augustine Pediatric Associates, 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 : | 493 Prosperity Lake Dr
St Augustine, FL, 32092-5045
United States |
|---|
| Phone Number : | 904-824-5437 |
|---|
| Fax Number : | 904-824-7575 |
|---|
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 : | 1447461421 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 May, 2007 |
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| Last Updated On : | 21 Jul, 2015 |
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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 : | Michael Soberano |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 904-824-5437 |
|---|
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 Pediatric Associates, Pa are as mentioned. Primary taxonomy code for St. Augustine Pediatric Associates, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME78696 | FL |
Legacy Identifiers:
Other legacy medical identifiers of St. Augustine Pediatric Associates, Pa 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 |
|---|
| Phone Number : | 904-824-5437 |
|---|
| Fax Number : | 904-824-7575 |
|---|
Business Location:
Patients can refer following map for directions to
St. Augustine Pediatric Associates, 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. Last updated on 08 January, 2024.