Jacksonville Pediatric Associates, M.D., P.A.
LBN: Jacksonville Pediatric Associates, M.D., P.A.
Jacksonville Pediatric Associates, M.D., P.A. is an health care organization with primary practice located at 8774 Perimeter Park Blvd , Jacksonville FL 32216-6347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Jacksonville Pediatric Associates, M.D., P.A. can be contacted via phone (904) 642-6100, or through Silva, Enrique Manuel via phone (904) 642-6100.
Contact Information
Primary practice address
8774 Perimeter Park Blvd
Jacksonville FL 32216-6347
Phone: (904) 642-6100
Fax: (904) 642-5154
Website:
Authorized official contact:
Name: Silva, Enrique Manuel Doctor of Medicine (MD)
Phone: (904) 642-6100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0044830 | Florida |
Profile Details
| NPI number | 1417955196 |
|---|---|
| LBN Legal business name | Jacksonville Pediatric Associates, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Silva, Enrique Manuel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417955196 | NPPES |
| Florida | MEDICAID | 375327102 | |
| Florida | MEDICAID | 375327101 | |
| Florida | MEDICAID | 375327100 |
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