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

Dr. Michael Maxino Soberano, MD

Individual provider Pediatrics Physician · NPI 1477596377

Dr. Michael Maxino Soberano, MD is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

493 Prosperity Lake Dr
St Augustine, FL 32092-5045
Phone: (904) 824-5437
Fax: (904) 824-7575
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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 number1477596377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address493 Prosperity Lake Dr, St Augustine, FL 32092-5045

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