Anastasia Pediatrics

LBN: Anastasia Pediatrics
Anastasia Pediatrics is an health care organization with primary practice located at 100 Whetstone Pl Suite 205, St Augustine FL 32086-5774. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Anastasia Pediatrics can be contacted via phone (904) 819-9925, or through Manikal, Monali via phone (904) 819-9925.

Contact Information

Primary practice address
100 Whetstone Pl Suite 205 St Augustine FL 32086-5774
Phone: (904) 819-9925
Fax: (904) 819-9926
Website:
Map and Directions
Authorized official contact:
Name: Manikal, Monali Doctor of Medicine (MD)
Phone: (904) 819-9925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0081118 Florida

Profile Details

NPI number 1205192739
LBN Legal business name Anastasia Pediatrics
DBA Doing business as
Authorized official Manikal, Monali Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2012
Last updated Apr 30th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205192739 NPPES
Florida MEDICAID 003482600
Florida MEDICAID 259789600

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