Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL MAXINO SOBERANO, MD
ActiveDR. MICHAEL MAXINO SOBERANO, MD is a Pediatrics healthcare provider located in ST AUGUSTINE, Florida. NPI 1477596377 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1477596377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.213515944904 yrs)
- Last Updated
- Jul 9, 2020
- License
-
ME78696 (FL)
Practice Information
- Address
-
493 PROSPERITY LAKE DRST AUGUSTINE, FL, 320925045Browse FL providers · Browse ZIP 32092
- Phone
- 9048245437
- Fax
- 9048247575
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MONALI MANIKAL | M.D | 1447276852 |
| DR. ZANE GARY KALTER | M.D. | 1649280041 |
| DR. VINCENT S LUZ | MD | 1477658342 |
| DR. SHIRLEY N LEADEM | M.D. | 1023194859 |
| MR. HOMERO SICANGCO | M.D. | 1780753251 |
| DR. MIGUEL A MAS JR. | MD | 1033273511 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.