St. Augustine Pediatric Associates, PA
NPI #1629286299 in St Augustine, Florida
Provider Information
- NPI Number
- 1629286299
- Entity Type
- Organization
- Organization Name
- St. Augustine Pediatric Associates, PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 17, 2015
Practice Location
- Address
- 1301 PLANTATION ISLAND DR S
- Address 2
- SUITE 106B
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-3108
- Phone
- (904) 461-8906
Authorized Official
- Name
- DR. MICHAEL SOBERANO, MD
- Title
- OWNER
- Phone
- (904) 824-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Michael Maxino Soberano, MD | |
| Monali Manikal, M.D | |
| DR. Zane Gary Kalter, M.D. | |
| DR. Vincent S Luz, MD |
Organizations
| Provider Name | |
|---|---|
| St Augustine Adult & Pediatric Medicine PA |
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