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
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

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