Village Pediatrics of St Augustine LLC
NPI #1164738191 in St Augustine, Florida
Provider Information
- NPI Number
- 1164738191
- Entity Type
- Organization
- Organization Name
- Village Pediatrics of St Augustine LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 27, 2010
- Last Updated
- Aug 27, 2010
Practice Location
- Address
- 319 W TOWN PL
- Address 2
- SUITE 1
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3101
- Phone
- (904) 940-1577
Authorized Official
- Name
- DR. PATRICIA ELVIR, M.D.
- Title
- OWNER
- Phone
- (904) 940-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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