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

Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine

Organization Pediatric Adolescent Medicine Physician · NPI 1831970433

Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine is a Pediatric Adolescent Medicine Physician in St Augustine, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 E Town Pl Ste 215
St Augustine, FL 32092-2821
Phone: (904) 429-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1831970433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Mastrogianakis — Owner · (904) 429-9989
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address101 E Town Pl Ste 215, St Augustine, FL 32092-2821

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