Organization
ANASTASIA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONALI MANIKAL MD (DOCTOR)
(904) 819-9925
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, SUITE 205, ST AUGUSTINE, FL 32086-5774
(904) 819-9925
(904) 819-9926
Mailing address
100 WHETSTONE PL, SUITE 205, ST AUGUSTINE, FL 32086-5774
(904) 819-9925
(904) 819-9926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0081118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003482600
—
FL
05
—
259789600
—
FL
Enumeration date
04/10/2012
Last updated
04/30/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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