Children'S Medical Group Pa

LBN: Children'S Medical Group Pa
Children'S Medical Group Pa is an health care organization with primary practice located at 4131 University Blvd S 16, Jacksonville FL 32216-4326. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Children'S Medical Group Pa can be contacted via phone (907) 733-7408, or through Zimmerman, Dale Franklin via phone (907) 268-6725.

Contact Information

Primary practice address
4131 University Blvd S 16 Jacksonville FL 32216-4326
Phone: (907) 733-7408
Fax: (904) 733-7668
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, Dale Franklin Doctor of Medicine (MD)
Phone: (907) 268-6725

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1932180452
LBN Legal business name Children'S Medical Group Pa
DBA Doing business as
Authorized official Zimmerman, Dale Franklin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932180452 NPPES
Florida Other 00149 BCBS

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