Organization
SHELBY H CLINE MD PA D/B/A SUNSHINE PEDIATRICS OF ST AUGUSTINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MANUCY (OFFICE MANAGER)
(904) 615-1794
Entity
Organization
Contact information
Practice address
101 WHITEHALL DR STE 108, SAINT AUGUSTINE, FL 32086-5268
(904) 814-2207
Mailing address
101 WHITEHALL DR STE 108, SAINT AUGUSTINE, FL 32086-5268
(904) 615-1794
(904) 341-5552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
02/28/2024
Last updated
11/11/2024
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