Jacksonville Pediatrics

LBN: Jacksonville Pediatrics
Jacksonville Pediatrics is an health care organization with primary practice located at 2606 Park St , Jacksonville FL 32204-4520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Jacksonville Pediatrics can be contacted via phone (904) 388-4646, or through Thornton, Randolph Edens via phone (904) 389-4140.

Contact Information

Primary practice address
2606 Park St Jacksonville FL 32204-4520
Phone: (904) 388-4646
Fax: (904) 388-9071
Website:
Map and Directions
Authorized official contact:
Name: Thornton, Randolph Edens Doctor of Medicine (MD)
Phone: (904) 389-4140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X Florida

Profile Details

NPI number 1043346745
LBN Legal business name Jacksonville Pediatrics
DBA Doing business as
Authorized official Thornton, Randolph Edens Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 21st, 2022 - about 3 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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