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ST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA
NPI 1174518179
Pediatrics in St Augustine, FL

Active since September 15, 2005
67 S DIXIE HWY, ST AUGUSTINE, FL 32084(904) 827-0032(904) 827-0985 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Augustine Adult & Pediatric Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA (NPI 1174518179) is a healthcare organization registered as a pediatrics in St Augustine, Florida and active in the NPI registry since September 2005. The organization lists Vandana Y Bhide, Md, as its authorized official.

NPPES Registry Identity

NPI1174518179
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST AUGUSTINE ADULT & PEDIATRIC MEDICINE PA
Location Address67 S DIXIE HWYSt Augustine, FL 32084-0317
Mailing Address67 S Dixie HwySt Augustine, FL 32084-0317 · (904) 827-0032 · Fax (904) 827-0985
Phone(904) 827-0032
Fax(904) 827-0985
Organization SubpartNo
Authorized OfficialVandana Y BhideMd · (904) 827-0032
Enumeration DateSeptember 15, 2005
Last NPPES UpdateNovember 10, 2010
✔ NPI 1174518179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME73431
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME73431 (FL)
67 S DIXIE HWY, St Augustine, FL 32084
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Other Identifiers 5

Medicare UPING41966
Other41496Bcbs
Other110169538Rr Mc
Medicaid252533000FL
Medicare PINDP422AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VERNON RICARDO WASHINGTON M.A.
Counselor (Mental Health)
67 S DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 429-7573
CARMANEILA L. GREEN
Social Worker (Clinical)
67 S DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 429-7573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Augustine Adult & Pediatric Medicine PA's NPI number?

The NPI number for St Augustine Adult & Pediatric Medicine PA is 1174518179. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is St Augustine Adult & Pediatric Medicine PA located?

St Augustine Adult & Pediatric Medicine PA is located at 67 S Dixie Hwy, St Augustine, FL 32084. The listed phone number is (904) 827-0032.

What is St Augustine Adult & Pediatric Medicine PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for St Augustine Adult & Pediatric Medicine PA was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.