Northeast Florida Pediatric Associates, P.A.

LBN: Northeast Florida Pediatric Associates, P.A.
Northeast Florida Pediatric Associates, P.A. is an health care organization with primary practice located at 13595 Atlantic Blvd , Jacksonville FL 32225-3256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Northeast Florida Pediatric Associates, P.A. can be contacted via phone (904) 221-4325, or through Pena-Ariet, Rodolfo via phone (904) 221-4325.

Contact Information

Primary practice address
13595 Atlantic Blvd Jacksonville FL 32225-3256
Phone: (904) 221-4325
Fax: (904) 221-9167
Website:
Map and Directions
Authorized official contact:
Name: Pena-Ariet, Rodolfo Doctor of Medicine (MD)
Phone: (904) 221-4325

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1699827139
LBN Legal business name Northeast Florida Pediatric Associates, P.A.
DBA Doing business as
Authorized official Pena-Ariet, Rodolfo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jun 17th, 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 1699827139 NPPES
Florida MEDICAID 004418500

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