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JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC NPI 1114458916


NPI Information

NPI: 1114458916
Provider Name: JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
9191 R G SKINNER PKWY
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 388-3351
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JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC is a pediatric endocrinology pediatrics in Jacksonville, FL. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC NPI is 1114458916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9191 R G SKINNER PKWY
JACKSONVILLE, FL
ZIP 32256-655
Phone: (904) 388-3351

The provider's authorized official is Reham Hasan .
The authorized official title is Owner and has the following contact phone number (904) 388-3351.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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