Organization
ST. JOHN'S PEDIATRICS, P.A.
Active
Parent organization
ST. JOHN'S PEDIATRICS, P.A. MAIN OFFICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHN'S PEDIATRICS, P.A. MAIN OFFICE
Authorized official
DR. LETICIA ROSARIO ABREA M.D. (PRESIDENT)
(904) 230-0624
Entity
Organization
Contact information
Practice address
161 HAMPTON POINT DR, SUITE 4, SAINT AUGUSTINE, FL 32092-3057
(904) 230-0624
(904) 230-7947
Mailing address
161 HAMPTON POINT DR, SUITE 4, SAINT AUGUSTINE, FL 32092-3057
(904) 230-0624
(904) 230-7947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90096
FL
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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