| NPI Details | |
|---|---|
| NPI | 1174518179 |
| Enumeration Date | 09/15/2005 |
| Last Updated | 11/10/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | VANDANA Y VANDANA |
| Position | MD |
| Phone | (904) 827-0032 |
| Fax | (904) 827-0985 |
| Practice Location | |
|---|---|
| 67 S DIXIE HWY ST AUGUSTINE FL, 32084-0317, US |
|
| Phone | (904) 827-0032 |
| Fax | (904) 827-0985 |
| Business Location | |
|---|---|
| 67 S DIXIE HWY ST AUGUSTINE FL, 32084-0317, US |
|
| Phone | (904) 827-0032 |
| Fax | (904) 827-0985 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207R00000X |
| License State | Florida |
| License Number | ME73431 |
| Remove 1174518179 NPI Number | |
According to our database, St Augustine Adult & Pediatric Medicine Pa NPI is 1174518179, taxonomy code is 207R00000X and license number is ME73431, license state is located at Florida. St Augustine Adult & Pediatric Medicine Pa physically located at 67 S Dixie Hwy, St Augustine FL, 32084-0317. NPI Number 1033115704 has the healthcare provider type.
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1174518179 NPI number is provided on an as is basis without warranty of any kind. 1174518179 is maintained by the National Plan & Provider Enumeration System. The contents of St Augustine Adult & Pediatric Medicine Pa are for informational purposes only.
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