St Augustine Pediatric Associates, PA
St Augustine Pediatric Associates, PA is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
493 Prosperity Lake DrSt Augustine, FL 32092-5045
Phone: (904) 824-5437
Fax: (904) 824-7575
Show map & directions
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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 ME78696 (FL) |
|---|
Record details
| NPI number | 1447461421 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Augustine Pediatrics |
| Authorized official | Michael Soberano — Owner · (904) 824-5437 |
| NPI enumerated | May 24, 2007 |
| Last updated in NPPES | July 21, 2015 |
| Mailing address | 493 Prosperity Lake Dr, St Augustine, FL 32092-5045 |
Other providers in St Augustine
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MS. Jency Nahomy Polanco, APRN
3504 Kings Rd S, St Augustine, FL 32086-5079 · (786) 295-9090
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Saltzman, Tanis, Pittel, Levin and Jacobson, LLC
493 Prosperity Lake Dr, St Augustine, FL 32092-5045 · (904) 824-5437
-
Mr. Homero Sicangco, MD
1301 Plantation Island Dr S #105-B, St Augustine, FL 32080-3108 · (904) 461-8906
-
Dr. Michael Maxino Soberano, MD
493 Prosperity Lake Dr, St Augustine, FL 32092-5045 · (904) 824-5437
-
St Augustine Pediatric Associates, PA
1301 Plantation Island Dr S Ste 106B, St Augustine, FL 32080-3108 · (904) 461-8906
-
Dr. Tara Lorence Vanbennekom, DO
304 Kingsley Lake Dr Ste #603, St Augustine, FL 32092 · (904) 824-5437
-
Village Pediatrics of St Augustine LLC
319 W Town Pl Ste 1, St Augustine, FL 32092-3101 · (904) 940-1577