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PROGRESSIVE PEDIATRICSLLC NPI 1396952784


NPI Information

NPI: 1396952784
Provider Name: PROGRESSIVE PEDIATRICS,LLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
1539 PARENTAL HOME RD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 338-0434
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PROGRESSIVE PEDIATRICS,LLC is a legal medicine in Jacksonville, FL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PROGRESSIVE PEDIATRICS,LLC NPI is 1396952784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1539 PARENTAL HOME RD
JACKSONVILLE, FL
ZIP 32216-009
Phone: (904) 338-0434
Fax: (904) 425-0821

The provider's authorized official is Valerie Heath Miles .
The authorized official title is Owner and has the following contact phone number (904) 338-0434.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


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
1173000000XLegal MedicineME79205FLORIDAYes

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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