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

Lighthouse Pediatrics PLLC

Organization Pediatrics Physician · NPI 1043630353

Lighthouse Pediatrics PLLC is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Whetstone Pl Ste 211
St Augustine, FL 32086-5774
Phone: (904) 342-7648
Fax: (904) 342-8567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME90727 (FL)

Record details

NPI number1043630353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincent Luz — Owner · (904) 342-7648
NPI enumeratedApril 25, 2014
Last updated in NPPESApril 25, 2014
Mailing address100 Whetstone Pl, Suite 211, St Augustine, FL 32086-5774

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