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Contact Information

DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
10175 FORTUNE PKWY UNIT 401
JACKSONVILLE, FL32256
 Phone: 904-298-1994
 Fax: 904-298-1973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DOCTORS INLET PEDIATRICS PRIMARY CARE PA · (Female)

NPI Number 1205039690
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 265248001
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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