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Contact Information

ORANGE PARK PEDIATRIC ASSOCIATES, PA
2140 SMITH ST
ORANGE PARK, FL32073-5554
 Phone: 904-269-2145
 Fax: 904-278-5038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ORANGE PARK PEDIATRIC ASSOCIATES, PA

NPI Number 1205878725
LBN Legal business name ORANGE PARK PEDIATRIC ASSOCIATES, PA
Authorized official MAGGIE MACY - (SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 12/11/2008 - About 17 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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