Pediatric Associates Of Jacksonville, Pa

LBN: Pediatric Associates Of Jacksonville, Pa
Pediatric Associates Of Jacksonville, Pa is an health care organization with primary practice located at 2 Fairfield Blvd Suite #11, Ponte Vedra Beach FL 32082-4626. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Of Jacksonville, Pa can be contacted via phone (904) 273-6533, or through Ozdemir, Aylin via phone (904) 273-6533.

Contact Information

Primary practice address
2 Fairfield Blvd Suite #11 Ponte Vedra Beach FL 32082-4626
Fax: (904) 280-7369
Website:
Authorized official contact:
Name: Ozdemir, Aylin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1811954126
LBN Legal business name Pediatric Associates Of Jacksonville, Pa
DBA Doing business as
Authorized official Ozdemir, Aylin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 7th, 2008 - about 16 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 1811954126 NPPES
Other 99995 BLUECROSS BLUESHIELD

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