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1790086429
HARBOUR ISLAND PEDIATRICS
ST AUGUSTINE, FL
NPI
1790086429
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Entity Type
Organization
Authorized Contact
HOMERO VARELA SICANGCO
President
904-282-6331
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME71363)
Enumeration Date
2010-11-11
Last Update Date
2010-11-11
Business Address
HARBOUR ISLAND PEDIATRICS
1301 PLANTATION ISLAND DR S SUITE 106-B
ST AUGUSTINE, FL 32080-3108
Phone number: 904-461-8906
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Mailing Address
HARBOUR ISLAND PEDIATRICS
2250 CAVALRY BLVD
JACKSONVILLE, FL 32246-4201
Phone number: 904-282-6331
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