ST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA

ST AUGUSTINE, FL
NPI1174518179
Entity TypeOrganization
Authorized ContactVANDANA Y BHIDE
Md
904-827-0032
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME73431)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME73431)
Enumeration Date2005-09-15
Last Update Date2010-11-10
Business Address
ST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA
67 S DIXIE HWY
ST AUGUSTINE, FL 32084-0317
Phone number: 904-827-0032
Mailing Address
ST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA
67 S DIXIE HWY
ST AUGUSTINE, FL 32084-0317
Phone number: 904-827-0032