1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Pediatrics
  6. NPI Profile

DR. MICHAEL MAXINO SOBERANO MD
NPI 1477596377
Pediatrics in St Augustine, FL

Active since June 14, 2006
493 PROSPERITY LAKE DR, ST AUGUSTINE, FL 32092(904) 824-5437(904) 824-7575 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Maxino Soberano Md NPPES

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

DR. MICHAEL MAXINO SOBERANO MD (NPI 1477596377) is an individual pediatrics provider in St Augustine, Florida, licensed in Florida (ME78696) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477596377
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL MAXINO SOBERANOCredential: MD
Location Address493 PROSPERITY LAKE DRSt Augustine, FL 32092-5045
Mailing Address493 Prosperity Lake DrSt Augustine, FL 32092-5045 · (904) 824-5437 · Fax (904) 824-7575
Phone(904) 824-5437
Fax(904) 824-7575
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1477596377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME78696
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.
493 PROSPERITY LAKE DR, St Augustine, FL 32092
Open in Google Maps ↗

Other Identifiers 1

Medicaid257545101FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

JENNIFER V ANGEL APRN
Nurse Practitioner (Pediatrics)
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437
MRS. VICTORIA O MILLER PA-C
Physician Assistant
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437
ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
Pediatrics
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437
CYNDIE S. HATCHER
Pediatrics
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437
SALTZMAN, TANIS, PITTEL, LEVIN AND JACOBSON, LLC
Pediatrics
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437
MRS. NATASHA JNO BAPTISTE
Nurse Practitioner (Family)
493 PROSPERITY LAKE DR
ST AUGUSTINE, FL 32092
St. Johns County (904) 824-5437

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 Michael Soberano's NPI number?

The NPI number for Michael Soberano is 1477596377. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Michael Soberano located?

Michael Soberano practices at 493 Prosperity Lake Dr, St Augustine, FL 32092. The listed phone number is (904) 824-5437.

What is Michael Soberano's specialty?

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

What insurance does Michael Soberano accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Michael Soberano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Soberano was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.