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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 Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for PEDIATRIC SERVICES OF AMERICA, LLC

NPI # 1144984931
LBN Legal business name PEDIATRIC SERVICES OF AMERICA, LLC
Authorized official VICKI WHITESIDE - (AVP)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2021
Last updated 10/27/2021 - About 5 years ago
Identifiers
FL Medicaid 678778965
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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