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STARFISH PEDIATRICS PA NPI 1447508478


NPI Information

NPI: 1447508478
Provider Name: STARFISH PEDIATRICS PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2048669

Address:
4500 HODGES BLVD
SUITE 1
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 347-2773
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STARFISH PEDIATRICS PA is a pediatrics in Jacksonville, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. STARFISH PEDIATRICS PA NPI is 1447508478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 HODGES BLVD
SUITE 1
JACKSONVILLE, FL
ZIP 32224-207
Phone: (904) 347-2773
Fax: (904) 647-2647

The provider's authorized official is Carlos Maria .
The authorized official title is Owner and has the following contact phone number (912) 338-5475.

The CLIA number assigned to this NPI record is 10D2048669 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 11/6/2012.


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
1208000000XPediatricsME 112541FLORIDAYes

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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