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Organization
VILLAGE PEDIATRICS OF ST AUGUSTINE LLC
Active
Organization
VILLAGE PEDIATRICS OF ST AUGUSTINE LLC
Active
Other names
Village Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ELVIR M.D. (OWNER)
(904) 940-1577
Entity
Organization
Contact information
Practice address
319 W TOWN PL, SUITE 1, ST AUGUSTINE, FL 32092-3101
(904) 940-1577
(904) 940-1916
Mailing address
319 W TOWN PL, SUITE 1, ST AUGUSTINE, FL 32092-3101
(904) 940-1577
(904) 940-1916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93245
FL
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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