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Contact Information

JACKSONVILLE PEDIATRICS
2606 PARK ST
JACKSONVILLE, FL32204-4520
 Phone: 904-388-4646
 Fax: 904-388-9071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JACKSONVILLE PEDIATRICS

NPI # 1043346745
LBN Legal business name JACKSONVILLE PEDIATRICS
Authorized official RANDOLPH THORNTON - (SENIOR PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
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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