Organization
PEDIATRICS OF ST. AUGUSTINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIYA M YASIN MD (PRESIDENT)
(904) 797-2121
Entity
Organization
Contact information
Practice address
2676 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6191
(904) 797-2121
Mailing address
2676 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6191
(904) 797-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87309
FL
Other
Enumeration date
05/10/2007
Last updated
07/12/2007
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