Organization · Type 2 NPI
Community Care Pediatrics PA
Primary Care Clinic/Center · St. Augustine, FL
NPI number
1639437569
Active
Practice location
3670 US 1 South Ste 300 B
St. Augustine, FL 32086
Fax (904) 217-0524
Other practice locations
- 885 State Road 20, Interlachen, FL 32148-2430 · (386) 643-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1639437569
Community Care Pediatrics PA's National Provider Identifier is 1639437569, issued on Apr 28, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 14, 2020.