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

Harbour Island Pediatrics

Organization Pediatrics Physician · NPI 1790086429

Harbour Island Pediatrics is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

1301 Plantation Island Dr S Ste 106-B
St Augustine, FL 32080-3108
Phone: (904) 461-8906
Fax: (904) 461-8907
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME71363 (FL)

Record details

NPI number1790086429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Homero Sicangco — President · (904) 282-6331
NPI enumeratedNovember 11, 2010
Last updated in NPPESNovember 11, 2010
Mailing address2250 Cavalry Blvd, Jacksonville, FL 32246-4201

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