Ancient City Pediatrics, Llc

NPI 1053598292 - Pediatrics - 208000000X

NPI Details
NPI 1053598292
Enumeration Date 01/30/2008
Last Updated 09/25/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JULIE JULIE
Position OFFICE MANAGER
Phone (904) 461-1560
Fax (904) 461-4304
Practice Location
1301 PLANTATION ISLAND DR S
SUITE 404
SAINT AUGUSTINE FL, 32080-3108, US
Phone (904) 461-1560
Fax (904) 461-4304
Business Location
1301 PLANTATION ISLAND DR S
SUITE 404
SAINT AUGUSTINE FL, 32080-3108, US
Phone (904) 461-1560
Fax (904) 461-4304
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Ancient City Pediatrics, Llc NPI is 1053598292, taxonomy code is 208000000X Ancient City Pediatrics, Llc physically located at 1301 Plantation Island Dr S, Saint Augustine FL, 32080-3108. NPI Number 1033115704 has the healthcare provider type.

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1053598292 NPI number is provided on an as is basis without warranty of any kind. 1053598292 is maintained by the National Plan & Provider Enumeration System. The contents of Ancient City Pediatrics, Llc are for informational purposes only.