Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine

Organization Pediatric Adolescent Medicine Physician · NPI 1831970433

Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine provides Pediatric Adolescent Medicine Physician services in St Augustine, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 E Town Pl Ste 215
St Augustine, FL 32092-2821
Phone: (904) 429-9989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1831970433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Mastrogianakis — Owner · (904) 429-9989
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address101 E Town Pl Ste 215, St Augustine, FL 32092-2821

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