Beaches Pediatrics, Pa
LBN: Beaches Pediatrics, Pa
Beaches Pediatrics, Pa is an health care organization with primary practice located at 13820 Old Saint Augustine Rd Ste 101 , Jacksonville FL 32258-5424. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Beaches Pediatrics, Pa can be contacted via phone (904) 260-2565, or through Rivera-Jimenez, Jorge via phone (904) 246-8684.
Contact Information
Primary practice address
13820 Old Saint Augustine Rd Ste 101
Jacksonville FL 32258-5424
Phone: (904) 260-2565
Fax:
Website:
Authorized official contact:
Name: Rivera-Jimenez, Jorge Doctor of Medicine (MD)
Phone: (904) 246-8684
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1295989606 |
|---|---|
| LBN Legal business name | Beaches Pediatrics, Pa |
| DBA Doing business as | |
| Authorized official | Rivera-Jimenez, Jorge Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2008 |
| Last updated | May 3rd, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295989606 | NPPES |
| Florida | MEDICAID | 018225000 |
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