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
1301 Plantation Island Dr S Ste 106BSt Augustine, FL 32080-3108
Phone: (904) 461-8906
Fax: (904) 461-7575
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 | 1629286299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Soberano — Owner · (904) 824-5437 |
| NPI enumerated | May 18, 2007 |
| Last updated in NPPES | August 17, 2015 |
| Mailing address | 1301 Plantation Island Dr S, Suite 106b, St Augustine, FL 32080-3108 |
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Mr. Homero Sicangco, MD
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Dr. Michael Maxino Soberano, MD
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St Augustine Pediatric Associates, PA
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