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Contact Information

FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC
1555 KINGSLEY AVE
STE. 201
ORANGE PARK, FL32073-4560
 Phone: 904-398-5614
 Fax: 904-398-5617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC

NPI Number 1699137182
LBN Legal business name FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC
Authorized official SEBASTIAN STANCIU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2016
Last updated 03/23/2016 - About 10 years ago
Identifiers
FL License # ME89939
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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