National Provider Identifier Database

PEDIATRICA HEALTH OF FLORIDA LLC
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

PEDIATRICA HEALTH OF FLORIDA, LLC
4788 HODGES BLVD
SUITE B-108
JACKSONVILLE, FL32224-7222
Phone: 904-223-9100
Fax: 904-223-9282
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRICA HEALTH OF FLORIDA, LLC

NPI Number 1316385164
Legal business name
LBN
PEDIATRICA HEALTH OF FLORIDA, LLC
Authorized official PRASANTHI REDDY - (OWNER/ DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 06/13/2013
Last updated 03/11/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME91195
  • FL Medicaid: 118989200

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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