| Dr Michael Maxino Soberano, MD | |
|
493 Prosperity Lake Dr, St Augustine, FL 32092-5045 | |
| (904) 824-5437 | |
| (904) 824-7575 |
| Full Name | Dr Michael Maxino Soberano |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 493 Prosperity Lake Dr, St Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477596377 | NPI | - | NPPES |
| 257545101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME78696 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Maxino Soberano, MD 493 Prosperity Lake Dr, St Augustine, FL 32092-5045 Ph: (904) 824-5437 | Dr Michael Maxino Soberano, MD 493 Prosperity Lake Dr, St Augustine, FL 32092-5045 Ph: (904) 824-5437 |
Dr. Shirley N Leadem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084 Phone: 904-829-6591 Fax: 904-824-8856 | |
Mr. Gary Wayne Cater, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4478 | |
Dr. Miguel A Mas Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S, Suite 404, St Augustine, FL 32080 Phone: 904-461-1560 Fax: 904-461-4304 | |
Dr. Meredith Johnston Brazell, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Palencia Village Dr Ste 107, St Augustine, FL 32095 Phone: 904-819-3200 | |
Kaylan Brady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Turin Terrace, Suite 220, St Augustine, FL 32092 Phone: 904-819-3000 Fax: 904-819-4426 | |
Paul J Leadem Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084 Phone: 904-829-6591 Fax: 904-824-8856 | |
Dr. Patricia Elvir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 W Town Pl, Suite#1, St Augustine, FL 32092 Phone: 904-940-1577 Fax: 904-940-1916 |