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Contact Information

ORANGE PARK PEDIATRIC ASSOCIATES, PA
2140 SMITH ST
ORANGE PARK, FL32073-5554
 Phone: 904-269-2145
 Fax: 904-278-5038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ORANGE PARK PEDIATRIC ASSOCIATES PA · (Female)

NPI Number 1205878725
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2006
Last updated 12/11/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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