NPI | 1053598292 |
---|---|
Doing Business As | DBA SUNSHINE PEDIATRICS OF ST AUGUSTINE |
Entity Type | Organization |
Authorized Contact | JULIE MANUCY Office Manager 904-615-1794 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2008-01-30 |
Last Update Date | 2024-06-26 |