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

St Augustine Adult & Pediatric Medicine PA

Organization Internal Medicine Physician · NPI 1174518179

St Augustine Adult & Pediatric Medicine PA is an Internal Medicine Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

67 S Dixie Hwy
St Augustine, FL 32084-0317
Phone: (904) 827-0032
Fax: (904) 827-0985
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME73431 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME73431 (FL)

Record details

NPI number1174518179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vandana Bhide — Md · (904) 827-0032
NPI enumeratedSeptember 15, 2005
Last updated in NPPESNovember 10, 2010
Mailing address67 S Dixie Hwy, St Augustine, FL 32084-0317

Other providers in St Augustine