Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ancient City Pediatrics

Organization Pediatrics Physician · NPI 1053598292

Ancient City Pediatrics is a Pediatrics Physician in Saint Augustine, Florida. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1301 Plantation Island Dr S Ste 104
Saint Augustine, FL 32080-3108
Phone: (904) 461-1560
Fax: (904) 461-4304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1053598292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adrienne McCoy — Office Manager · (904) 461-1560
Other names Dba Sunshine Pediatrics Of St Augustine
NPI enumeratedJanuary 30, 2008
Last updated in NPPESSeptember 2, 2025
Certification dateOctober 23, 2024
Mailing address1301 Plantation Island Dr S Ste 104, Saint Augustine, FL 32080-3108

Other providers in Saint Augustine