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Contact Information

ADVANCED PEDIATRIC CARE
943 CESERY BLVD BLDG G
JACKSONVILLE, FL32211
 Phone: 904-861-1330
 Fax: 904-600-0402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED PEDIATRIC CARE · (Female)

NPI # 1619325784
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2016
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 126160
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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