Pediatric Therapy Associates Llc in Jacksonville - Speech-language Pathologist
Pediatric Therapy Associates Llc - NPI 1417973918
Pediatric Therapy Associates Llc is a Speech-language Pathologist in Jacksonville, Florida. Pediatric Therapy Associates Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Pediatric Therapy Associates Llc is 1417973918. The last update date is 2020-08-22.
Pediatric Therapy Associates Llc's current location address is 12276 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9048863228 and fax number 9048863297. The mailing address for Pediatric Therapy Associates Llc is 12276 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Therapy Associates Llc |
|---|---|
| Address | 12276 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9048863228 |
| Fax Number | 9048863297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Edenfield Eric Jonathan |
| Credentials | M.S. OTR/L |
| Telephone Number | 9048863228 |
NPI Number Detail
| NPI Number | 1417973918 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12276 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322238628 |
| Phone Number | 9048863228 |
| Fax Number | 9048863297 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identification code assigned to Pediatric Therapy Associates Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Therapy Associates Llc has been issued the NPI (National Provider Identifier) 1417973918. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pediatric Therapy Associates Llc's facilities are geographically located?
The facilities of Pediatric Therapy Associates Llc are physically situated at the following location: 12276 San Jose Blvd, Jacksonville, FL, 322238628.
What is Pediatric Therapy Associates Llc's area of expertise and its corresponding taxonomy classification?
The Pediatric Therapy Associates Llc's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pediatric Therapy Associates Llc receive the assignment of its 1417973918 from the Centers for Medicare & Medicaid Services?
The Pediatric Therapy Associates Llc was issued its 1417973918 by the Centers for Medicare & Medicaid Services on 2006-07-15.
As of what date were the details pertaining to Pediatric Therapy Associates Llc last refreshed?
The information related to the Pediatric Therapy Associates Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.