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THE CARITHERS PEDIATRIC GROUP NPI 1811980196


NPI Information

NPI: 1811980196
Provider Name: THE CARITHERS PEDIATRIC GROUP

Other Name: DRS. CARITHERS, THRELKEL, COLYER, BAKER, AND CHEEK, P.A.

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 10D0670451

Address:
2121 PARK ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 387-6200
Get Directions

THE CARITHERS PEDIATRIC GROUP is an adolescent medicine pediatrics in Jacksonville, 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. THE CARITHERS PEDIATRIC GROUP NPI is 1811980196. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Drs. Carithers, Threlkel, Colyer, Baker, And Cheek, P.a..

The provider's business location address is:

2121 PARK ST
JACKSONVILLE, FL
ZIP 32204-811
Phone: (904) 387-6200
Fax: (904) 387-0261

The provider's authorized official is Tiffany Westbrook .
The authorized official title is Business Office Manager and has the following contact phone number (904) 387-9505.

The CLIA number assigned to this NPI record is 10D0670451 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/16/2022.


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
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1260421300MEDICAIDFLORIDA

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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