Night Lite Pediatric Center, LLC

NPI #1326708397 in Jacksonville, Florida

Provider Information

NPI Number: 1326708397
Entity Type: Organization
Organization Name: Night Lite Pediatric Center, LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 17, 2021
Last Updated: Jan 21, 2025

Practice Location

Address: 11140 BEACH BLVD
City: Jacksonville
State: Florida
ZIP Code: 32246-4804
Phone: (321) 608-3595

Authorized Official

Name: DANIELLE MARIE LOPEZ
Title: MANAGER CREDENTIALING/ENROLLMENT
Phone: (516) 207-7936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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