St Augustine Adult & Pediatric Medicine Pa

NPI 1174518179 - Internal Medicine - 207R00000X

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
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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.