St Augustine Adult & Pediatric Medicine PA
NPI #1174518179 in St Augustine, Florida
Provider Information
- NPI Number
- 1174518179
- Entity Type
- Organization
- Organization Name
- St Augustine Adult & Pediatric Medicine PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 15, 2005
- Last Updated
- Nov 10, 2010
Practice Location
- Address
- 67 S DIXIE HWY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-0317
- Phone
- (904) 827-0032
Authorized Official
- Name
- VANDANA Y BHIDE, MD
- Title
- MD
- Phone
- (904) 827-0032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
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