person
Dr. Michael Maxino Soberano, MD
Pediatrics Physician in St Augustine, Florida
NPI 1477596377

Michael Maxino Soberano is a Pediatrics Physician based in St Augustine, FL. Michael Maxino Soberano practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Michael Maxino Soberano is 1477596377 and holds a License No. ME78696 (Florida).

The current practice location address for Michael Maxino Soberano is 493 Prosperity Lake Dr, St Augustine, FL and can be reached out via phone at 904-824-5437 and via fax at 904-824-7575.

Location: 493 Prosperity Lake Dr, St Augustine, FL, 32092-5045
person
Provider Profile Details
NPI Number
1477596377
Provider Name
Michael Maxino Soberano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
493 Prosperity Lake Dr, St Augustine, FL, 32092-5045
Phone Number
904-824-5437
Fax Number
904-824-7575
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
257545101 05 FL
institution
Provider Business Practice Location Address Details
Address
493 Prosperity Lake Dr
City
State
Zip
32092-5045
Phone Number
904-824-5437
Fax Number
904-824-7575
person
Provider Business Mailing Address Details
Address
493 Prosperity Lake Dr
City
State
Zip
32092-5045
Phone Number
904-824-5437
Fax Number
904-824-7575
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
ME78696 (Florida)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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