ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
NPI 1629286299
Pediatrics in St Augustine, FL

Active since May 18, 2007
1301 PLANTATION ISLAND DR S, SUITE 106B, ST AUGUSTINE, FL 32080(904) 461-8906(904) 461-7575 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Augustine Pediatric Associates, Pa NPPES

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

ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA (NPI 1629286299) is a healthcare organization registered as a pediatrics in St Augustine, Florida and active in the NPI registry since May 2007. The organization lists Michael Soberano, Owner, as its authorized official.

NPPES Registry Identity

NPI1629286299
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
Location Address1301 PLANTATION ISLAND DR S, SUITE 106BSt Augustine, FL 32080-3108
Mailing Address1301 Plantation Island Dr S, Suite 106bSt Augustine, FL 32080-3108 · (904) 461-8906 · Fax (904) 461-7575
Fax(904) 461-7575
Organization SubpartNo
Authorized OfficialMichael SoberanoOwner · (904) 824-5437
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 17, 2015
NPI 1629286299 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.
1301 PLANTATION ISLAND DR S, St Augustine, FL 32080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Family Medicine
1301 PLANTATION ISLAND DR S, 102-B
ST AUGUSTINE, FL 32080
Podiatrist (Foot & Ankle Surgery)
1301 PLANTATION ISLAND DR S, STE 203
ST AUGUSTINE, FL 32080
Pediatrics
1301 PLANTATION ISLAND DR S, SUITE 404
ST AUGUSTINE, FL 32080
Hearing Instrument Specialist
1301 PLANTATION ISLAND DR S, SUITE 401B
ST AUGUSTINE, FL 32080
Dentist (General Practice)
1301 PLANTATION ISLAND DR S, SUITE 104 B
ST AUGUSTINE, FL 32080
Internal Medicine
1301 PLANTATION ISLAND DR S, SUITE 106A
SAINT AUGUSTINE, FL 32080
Physical Medicine & Rehabilitation (Pain Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402A
ST AUGUSTINE, FL 32080
Internal Medicine (Addiction Medicine)
1301 PLANTATION ISLAND DR S, SUITE 402-B
ST AUGUSTINE, FL 32080

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 Pediatric Associates, PA's NPI number?

The NPI number for St. Augustine Pediatric Associates, PA is 1629286299. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is St. Augustine Pediatric Associates, PA located?

St. Augustine Pediatric Associates, PA is located at 1301 Plantation Island Dr S Suite 106B, St Augustine, FL 32080. The listed phone number is (904) 461-8906.

What is St. Augustine Pediatric Associates, 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 Pediatric Associates, PA was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.