Organization · Type 2 NPI

Ancient City Pediatrics

Pediatrics Physician · St. Augustine, FL

NPI number 1053598292 Active

Practice location

1301 Plantation Island Dr S Ste 104
St. Augustine, FL 32080-3108

Fax (904) 461-4304

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1053598292

Ancient City Pediatrics's National Provider Identifier is 1053598292, issued on Jan 30, 2008. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 2, 2025.