National Provider Identifier Database

JACKSONVILLE PEDIATRICS
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JACKSONVILLE PEDIATRICS
2606 PARK ST
JACKSONVILLE, FL32204-4520
Phone: 904-388-4646
Fax: 904-388-9071
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for JACKSONVILLE PEDIATRICS

NPI Number 1043346745
Legal business name
LBN
JACKSONVILLE PEDIATRICS
Authorized official RANDOLPH THORNTON - (SENIOR PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/26/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for JACKSONVILLE PEDIATRICS

There are currently no reviews for JACKSONVILLE PEDIATRICS


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