ORANGE PARK PEDIATRIC ASSOCIATES PA NPI 1205878725

NPI Information

NPI: 1205878725
Provider Name: ORANGE PARK PEDIATRIC ASSOCIATES, PA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
2140 SMITH ST
ORANGE PARK, FL
ZIP 32073
Phone: (904) 269-2145
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ORANGE PARK PEDIATRIC ASSOCIATES, PA is an adolescent medicine pediatrics in Orange Park, FL. The provider is 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. ORANGE PARK PEDIATRIC ASSOCIATES, PA NPI is 1205878725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2140 SMITH ST
ORANGE PARK, FL
ZIP 32073-554
Phone: (904) 269-2145
Fax: (904) 278-5038

The provider's authorized official is Maggie Macy .
The authorized official title is Supervisor and has the following contact phone number (904) 269-2145.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 12/11/2008.

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	2080A0000X	Pediatrics	Adolescent Medicine			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: 5/5/2024

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