DR. MARY'S PLACE NPI 1164751707

NPI Information

NPI: 1164751707
Provider Name: DR. MARY'S PLACE
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
4051 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 393-4700
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DR. MARY'S PLACE is a pediatrics nurse practitioner in Jacksonville, FL. DR. MARY'S PLACE NPI is 1164751707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4051 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32207-036
Phone: (904) 393-4700
Fax: (904) 493-9700

The provider's authorized official is Cara Marie D'amico .
The authorized official title is Pediatric Arnp and has the following contact phone number (904) 642-6100.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 4/29/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9271693	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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