MARIA VICTORIA KILAYKO SICANGCO (NPI# 1508079484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508079484 |
| Entity Type | Individual |
| Full Name | MARIA VICTORIA KILAYKO SICANGCO |
| Other Name | MARIA VICTORIA KILAYKO SICANGCO |
| Credential | MD |
| Practice Address |
1301 Plantation Island Dr S 105b St Augustine FL 32080-3108 |
| Mailing Address |
2950 Montilla Dr Jacksonville FL 32246-5526 |
| Practice Telephone | 9044618906 |
| Practice Fax Number | 9044618907 |
| Mailing Telephone | 9049988282 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME71360 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278377100 | 05 |
| Street Address |
1301 PLANTATION ISLAND DR S 105B |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900893 | Melchor G Barros | Family Medicine | 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080-3108 | 2005-08-26 |
| 1316487218 | Jesse Fazzingo | Nurse Practitioner | 1301 Plantation Island Dr S, Suite 302a, St Augustine, FL 32080-3108 | 2017-02-27 |
| 1407390529 | Nakisha Marie Carrasquillo-richardson | Psychologist | 1301 Plantation Island Dr S, Ste. 201 A, St Augustine, FL 32080-3108 | 2016-12-08 |
| 1841733268 | Ronda Jo Jarvis | Social Worker | 1301 Plantation Island Dr S, Suite 201a, St Augustine, FL 32080-3108 | 2016-12-03 |
| 1528510047 | Michelle Murray Craun | Marriage & Family Therapist | 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080-3108 | 2016-11-01 |
| 1730549817 | Physician Associates Group, Inc. | Psychiatry & Neurology | 1301 Plantation Island Dr S, Suite 201-a, St Augustine, FL 32080-3108 | 2016-03-02 |
| 1770942260 | Northeast Florida Endocrine and Diabetes Associates, Pa | Specialist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3108 | 2016-02-12 |
| 1518339761 | Cindy O Chaconas | Physical Therapist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3111 | 2015-10-28 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218939 | Flagler Professional Health Care Services, Inc. | Pediatrics | 120 Palencia Village Dr Ste 108, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1073952909 | Meredith Johnston Brazell | Pediatrics | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2013-06-25 |
| 1184715658 | Paul J Leadem Jr. | Pediatrics | 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 | 2006-09-27 |
| 1477658342 | Vincent S Luz | Pediatrics | 100 Whetstone Pl Ste 211, St Augustine, FL 32086-5775 | 2006-09-14 |
| 1649280041 | Zane Gary Kalter | Pediatrics | 70 Turin Ter Ste 220, St Augustine, FL 32092-0850 | 2006-08-08 |
| 1043630353 | Lighthouse Pediatrics Pllc | Pediatrics | 100 Whetstone Pl, Suite 211, St Augustine, FL 32086-5774 | 2014-04-25 |
| 1205192739 | Anastasia Pediatrics | Pediatrics | 100 Whetstone Pl, Suite 205, St Augustine, FL 32086-5774 | 2012-04-10 |
| 1053602813 | Global Health Records, Inc. | Pediatrics | 1851 Old Moultrie Rd, St Augustine, FL 32084-4168 | 2011-04-28 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.