St Augustine Adult & Pediatric Medicine Pa
LBN: St Augustine Adult & Pediatric Medicine Pa
St Augustine Adult & Pediatric Medicine Pa is an health care organization with primary practice located at 67 S Dixie Hwy , St Augustine FL 32084-0317. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
St Augustine Adult & Pediatric Medicine Pa can be contacted via phone (904) 827-0032, or through Bhide, Vandana Y via phone (904) 827-0032.
Contact Information
Primary practice address
67 S Dixie Hwy
St Augustine FL 32084-0317
Phone: (904) 827-0032
Fax: (904) 827-0985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME73431 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME73431 | Florida |
Profile Details
| NPI number | 1174518179 |
|---|---|
| LBN Legal business name | St Augustine Adult & Pediatric Medicine Pa |
| DBA Doing business as | |
| Authorized official | Bhide, Vandana Y Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Nov 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174518179 | NPPES |
| Florida | MEDICAID | 252533000 | |
| Florida | Other | 41496 | |
| Florida | Other | 110169538 |
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