Pediatrics of St Augustine
Pediatrics of St Augustine provides Pediatrics Physician services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
2676 US Highway 1 SSt Augustine, FL 32086-6191 Not confirmed with CMS for 19 years — call before visiting
Phone: (904) 797-2121
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence ME87309 (FL) |
|---|
Record details
| NPI number | 1457565947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aliya Yasin — President · (904) 797-2121 |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | July 12, 2007 |
| Mailing address | 2676 Us Highway 1 S, St Augustine, FL 32086-6191 |
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Dr. Vincent S Luz, MD
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Monali Manikal, MD
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Dr. Miguel A Mas Jr., MD
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MS. Jency Nahomy Polanco, APRN
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Saltzman, Tanis, Pittel, Levin and Jacobson, LLC
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Mr. Homero Sicangco, MD
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Dr. Michael Maxino Soberano, MD
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