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St Augustine Adult & Pediatric Medicine PA

Pediatrics Physician in St Augustine, FL · enumerated 2005 · authorized official Vandana Bhide, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174518179

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Registry record

Entity type Organization (Type 2)
Legal business name St Augustine Adult & Pediatric Medicine PA
Practice address 67 S Dixie Hwy, St Augustine, FL, 32084
Fax (904) 827-0985
Enumeration date Sep 15, 2005
Last updated in NPPES Nov 10, 2010

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME73431 (FL) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME73431 (FL) Primary

Authorized official

Name Vandana Bhide
Title MD

Other identifiers

Identifier Type State Issuer
252533000 Medicaid FL -
41496 Other - BCBS
110169538 Other - RR MC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-11-10. Verify at npiregistry.cms.hhs.gov.
Where is St Augustine Adult & Pediatric Medicine PA located?
The practice location on file with NPPES is in St Augustine, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-10.