Leslie Surara Chua-Ravago in Jacksonville - Pediatrics
Leslie Surara Chua-Ravago - NPI 1487613535
Leslie Surara Chua-Ravago is a Pediatrics in Jacksonville, Florida. Leslie Surara Chua-Ravago practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Leslie Surara Chua-Ravago is 1487613535. The last update date is 2009-04-22.
Leslie Surara Chua-Ravago's current location address is 5460 Blanding Blvd, Jacksonville, Florida. You can contact this provider via phone number 9046330610 and fax number 9046330611. The mailing address for Leslie Surara Chua-Ravago is 5460 Blanding Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Surara Chua-Ravago |
|---|---|
| Address | 5460 Blanding Blvd, Jacksonville, Florida |
| Phone Number | 9046330610 |
| Fax Number | 9046330611 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487613535 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2009-04-22 |
Provider Mailing Address Detail
| Address | 5460 Blanding Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322441957 |
| Phone Number | 9046330610 |
| Fax Number | 9046330611 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME73649 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2522209-00 | FL | -- | |
| 000760647B | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leslie Surara Chua-Ravago?
The Leslie Surara Chua-Ravago has been issued the NPI (National Provider Identifier) 1487613535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Leslie Surara Chua-Ravago is geographically located?
The Leslie Surara Chua-Ravago is physically situated at the following location: 5460 Blanding Blvd, Jacksonville, FL, 322441957.
What is Leslie Surara Chua-Ravago's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leslie Surara Chua-Ravago's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Leslie Surara Chua-Ravago receive its 1487613535 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Surara Chua-Ravago was assigned its 1487613535 by the Centers for Medicare & Medicaid Services on 2006-03-18.
When was the information related to Leslie Surara Chua-Ravago most recently updated or refreshed?
The details pertaining to the Leslie Surara Chua-Ravago, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-22.