Octavia T Slevinski in Jacksonville - Pediatrics

Octavia T Slevinski - NPI 1013040682

Octavia T Slevinski is a Pediatrics in Jacksonville, Florida. Octavia T Slevinski practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Octavia T Slevinski is 1013040682. The last update date is 2022-04-14.

Octavia T Slevinski's current location address is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. You can contact this provider via phone number 9044506063 and fax number 9045394091. The mailing address for Octavia T Slevinski is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Octavia T Slevinski
Address 4205 Belfort Rd Ste 4015, Jacksonville, Florida
Phone Number 9044506063
Fax Number 9045394091
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1013040682
Provider Enumeration Date 2007-03-13
Last Updated Date 2022-04-14

Provider Mailing Address Detail

Address 4205 Belfort Rd Ste 4015
City Jacksonville
State Florida (FL)
Post Code 322163623
Phone Number 9044506063
Fax Number 9045394091

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No APRN803472
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
304833100 FL --

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FAQs about Octavia T Slevinski

What is the unique identifier code issued to Octavia T Slevinski by the Centers for Medicare & Medicaid Services (CMS)?

The Octavia T Slevinski has been assigned the NPI (National Provider Identifier) 1013040682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Octavia T Slevinski is located?

The Octavia T Slevinski is situated at the following address: 4205 Belfort Rd Ste 4015, Jacksonville, FL, 322163623.

What is the area of specialization for Octavia T Slevinski, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Octavia T Slevinski is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.

On what date did Octavia T Slevinski receive its 1013040682 assignment from the Centers for Medicare & Medicaid Services?

The Octavia T Slevinski was assigned its 1013040682 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Octavia T Slevinski's details last updated?

The information pertaining to the Octavia T Slevinski, including its address, specialty, and other details, was most recently updated on 2022-04-14.

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