St. Augustine Pediatric Associates, PA
NPI 1629286299ActiveOrganization· Pediatrics· St Augustine, FL
Pediatrics in St Augustine, Florida, registered in NPPES in May 2007. The authorized official on file is Michael Soberano, MD, Owner.
Overview
| NPI | 1629286299 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Aug 17, 2015 |
| Reactivated | Aug 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | ME78696 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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