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Contact Information

ADVANCED PEDIATRIC CARE
943 CESERY BLVD BLDG G
JACKSONVILLE, FL32211
 Phone: 904-861-1330
 Fax: 904-600-0402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED PEDIATRIC CARE

NPI Number 1619325784
LBN Legal business name ADVANCED PEDIATRIC CARE
Authorized official NOORJAHAN ALI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2016
Last updated 03/15/2022 - About 4 years ago
Identifiers
FL License # 126160
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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