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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICA HEALTH OF FLORIDA, LLC

NPI # 1316385164
LBN Legal business name PEDIATRICA HEALTH OF FLORIDA, LLC
Authorized official PRASANTHI REDDY - (OWNER/ DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2013
Last updated 03/11/2025 - More than a year ago
Identifiers
FL License # ME91195
FL Medicaid 118989200
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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