NPI | 1902663735 |
---|---|
Doing Business As | SUNSHINE PEDIATRICS OF ST AUGUSTINE |
Entity Type | Organization |
Authorized Contact | SHELBY CLINE Owner/Provider 904-814-2207 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |