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Contact Information

DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
430 COLLEGE DR STE 104-106
MIDDLEBURG, FL32068-8530
 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 # 1518980937
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 10/03/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other 2941225 AETNA GROUP ID
  • FL Other 94792 BC/BS
  • FL Other K6020 MEDICARE GROUP
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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