Pediatrics of St. Augustine
NPI #1457565947 in St Augustine, Florida
Provider Information
- NPI Number
- 1457565947
- Entity Type
- Organization
- Organization Name
- Pediatrics of St. Augustine
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 10, 2007
- Last Updated
- Jul 12, 2007
Practice Location
- Address
- 2676 US HIGHWAY 1 S
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-6191
- Phone
- (904) 797-2121
Authorized Official
- Name
- DR. ALIYA M YASIN, MD
- Title
- PRESIDENT
- Phone
- (904) 797-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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