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St. Augustine Pediatric Associates, PA

Pediatrics Physician in St Augustine, FL · enumerated 2007 · authorized official Michael Soberano, Owner.

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

National Provider Identifier

1447461421

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Registry record

Entity type Organization (Type 2)
Legal business name St. Augustine Pediatric Associates, PA
Parent organization St. Augustine Pediatrics
Practice address 493 Prosperity Lake Dr, St Augustine, FL, 32092
Phone (904) 824-5437
Fax (904) 824-7575
Enumeration date May 24, 2007
Last updated in NPPES Jul 21, 2015

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME78696 (FL) Primary

Authorized official

Name Michael Soberano
Title Owner
Phone (904) 824-5437

Other identifiers

Identifier Type State Issuer
257545101 Medicaid FL -

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

What type of organization is St. Augustine Pediatric Associates, PA?
St. Augustine Pediatric Associates, PA is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-21.