St. Augustine Pediatric Associates, Pa

LBN: St. Augustine Pediatric Associates, Pa
St. Augustine Pediatric Associates, Pa is an health care organization with primary practice located at 1301 Plantation Island Dr S Suite 106B, St Augustine FL 32080-3108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. St. Augustine Pediatric Associates, Pa can be contacted via phone (904) 461-8906, or through Soberano, Michael via phone (904) 824-5437.

Contact Information

Primary practice address
1301 Plantation Island Dr S Suite 106B St Augustine FL 32080-3108
Phone: (904) 461-8906
Fax: (904) 461-7575
Website:
Map and Directions
Authorized official contact:
Name: Soberano, Michael Doctor of Medicine (MD)
Phone: (904) 824-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78696 Florida

Profile Details

NPI number 1629286299
LBN Legal business name St. Augustine Pediatric Associates, Pa
DBA Doing business as
Authorized official Soberano, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Aug 17th, 2015 - about 9 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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