Rainbow Pedicatrics

LBN: Rainbow Pediatric Center Pa
Rainbow Pedicatrics is an health care organization with primary practice located at 4788 Hodges Blvd Suite B-108, Jacksonville FL 32224-7222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Rainbow Pediatric Center Pa can be contacted via phone (904) 223-9100, or through Reddy, Prasanthi via phone (904) 223-9100.

Contact Information

Primary practice address
4788 Hodges Blvd Suite B-108 Jacksonville FL 32224-7222
Phone: (904) 223-9100
Fax: (904) 223-9282
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Prasanthi Doctor of Medicine (MD)
Phone: (904) 223-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME91195 Florida

Profile Details

NPI number 1316385164
LBN Legal business name Rainbow Pediatric Center Pa
DBA Doing business as Rainbow Pedicatrics
Authorized official Reddy, Prasanthi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2013
Last updated Jun 12th, 2024 - about last year

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 1316385164 NPPES
Florida MEDICAID 118989200

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