Northwest Jacksonville Pediatrics, P.a.
NPI #1205079662 in Jacksonville, Florida
Provider Information
- NPI Number
- 1205079662
- Entity Type
- Organization
- Organization Name
- Northwest Jacksonville Pediatrics, P.a.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 15, 2009
- Last Updated
- Apr 15, 2009
Practice Location
- Address
- 3160 EDGEWOOD AVE W
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32209-2245
- Phone
- (904) 765-5249
Authorized Official
- Name
- DR. SHELLY HOLDER THOMPSON, MD
- Title
- DIRECTOR
- Phone
- (904) 765-5249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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