ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA

ST AUGUSTINE, FL
NPI1447461421
Entity TypeOrganization
Authorized ContactMICHAEL SOBERANO
Owner
904-824-5437
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME78696)
Enumeration Date2007-05-24
Last Update Date2015-07-21
Business Address
ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092-5045
Phone number: 904-824-5437
Mailing Address
ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092-5045
Phone number: 904-824-5437
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