Jacksonville Pediatrics in Jacksonville - Adolescent Medicine
Jacksonville Pediatrics - NPI 1043346745
Jacksonville Pediatrics is a Adolescent Medicine in Jacksonville, Florida. Jacksonville Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jacksonville Pediatrics is 1043346745. The last update date is 2022-07-21.
Jacksonville Pediatrics's current location address is 2606 Park St, Jacksonville, Florida. You can contact this provider via phone number 9043884646 and fax number 9043889071. The mailing address for Jacksonville Pediatrics is 2606 Park St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Pediatrics |
|---|---|
| Address | 2606 Park St, Jacksonville, Florida |
| Phone Number | 9043884646 |
| Fax Number | 9043889071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR PHY |
|---|---|
| Authorized Official Name | Thornton Edens Randolph |
| Credentials | M.D. |
| Telephone Number | 9043894140 |
NPI Number Detail
| NPI Number | 1043346745 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2606 Park St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044520 |
| Phone Number | 9043884646 |
| Fax Number | 9043889071 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the unique 10-digit identifier code assigned to Jacksonville Pediatrics by the Centers for Medicare & Medicaid Services?
The Jacksonville Pediatrics has been issued the NPI (National Provider Identifier) 1043346745 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacksonville Pediatrics?
The Jacksonville Pediatrics is physically situated at 2606 Park St, in the city of Jacksonville, state of FL, with the postal code 322044520.
What is the Jacksonville Pediatrics's area of specialization and corresponding taxonomy classification?
The Jacksonville Pediatrics's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Jacksonville Pediatrics receive the assignment of its 1043346745 from the Centers for Medicare & Medicaid Services?
The Jacksonville Pediatrics was issued its 1043346745 by the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information related to Jacksonville Pediatrics most recently updated or refreshed?
The details pertaining to the Jacksonville Pediatrics, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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