Childers, David Omer

Childers, David Omer is an individual health care provider with primary practice located at 6271 Saint Augustine Rd Ufjp Developmental Pediatrics, Jacksonville FL 32217-2523. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Childers, David Omer can be contacted via phone (904) 633-0770.

Contact Information

Primary practice address
6271 Saint Augustine Rd Ufjp Developmental Pediatrics Jacksonville FL 32217-2523
Phone: (904) 633-0770
Fax: (904) 633-0751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME86363 Florida
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X ME86363 Florida
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME86363 Florida

Profile Details

NPI number 1467493288
LBN Legal business name Childers, David Omer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467493288 NPPES
Florida MEDICAID 2658267-00
Florida MEDICAID 000975301A

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