National Provider Identifier Database

PEDIATRIC SERVICES OF AMERICA LLC
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

PEDIATRIC SERVICES OF AMERICA, LLC
8659 BAYPINE ROAD, STE 100
BUILDING 3
JACKSONVILLE, FL32256
Phone: 904-730-2200
Fax:
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC SERVICES OF AMERICA, LLC

NPI Number 1144984931
Legal business name
LBN
PEDIATRIC SERVICES OF AMERICA, LLC
Authorized official VICKI WHITESIDE - (AVP)
Entity Organization
Organization subpart No
Enumeration date 10/27/2021
Last updated 10/27/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 678778965

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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