Pediatric Associates of NE Florida, LLC

NPI #1801216155 in Jacksonville, Florida

Provider Information

NPI Number: 1801216155
Entity Type: Organization
Organization Name: Pediatric Associates of NE Florida, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC ASSOCIATES HOLDING COMPANY
Primary Specialty: Pediatrics
Enumeration Date: Apr 24, 2014
Last Updated: Aug 25, 2020

Practice Location

Address: 4972 TOWN CENTER PKWY # 301
City: Jacksonville
State: Florida
ZIP Code: 32246
Phone: (904) 642-6100

Authorized Official

Name: PATRICIA CORSIATTO
Title: DIRECTOR
Phone: (954) 967-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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