Organization
ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
Active
Parent organization
ST. AUGUSTINE PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. AUGUSTINE PEDIATRICS
Authorized official
MICHAEL SOBERANO M.D. (OWNER)
(904) 824-5437
Entity
Organization
Contact information
Practice address
493 PROSPERITY LAKE DR, ST AUGUSTINE, FL 32092-5045
(904) 824-5437
(904) 824-7575
Mailing address
493 PROSPERITY LAKE DR, ST AUGUSTINE, FL 32092-5045
(904) 824-5437
(904) 824-7575
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257545101
—
FL
Enumeration date
05/24/2007
Last updated
07/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us