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

Village Pediatrics of St Augustine LLC

Organization Pediatrics Physician · NPI 1164738191

Village Pediatrics of St Augustine LLC is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

319 W Town Pl Ste 1
St Augustine, FL 32092-3101
Phone: (904) 940-1577
Fax: (904) 940-1916
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME93245 (FL)

Record details

NPI number1164738191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Elvir — Owner · (904) 940-1577
Other names Village Pediatrics Llc
NPI enumeratedAugust 27, 2010
Last updated in NPPESAugust 27, 2010
Mailing address319 W Town Pl, Suite 1, St Augustine, FL 32092-3101

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