ADVANCED PEDIATRIC CARE – NPI #1619325784
Pediatrics

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.

ADVANCED PEDIATRIC CARE is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1619325784 to ADVANCED PEDIATRIC CARE on May 31, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Mar 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED PEDIATRIC CARE below.

NPI Profile for
ADVANCED PEDIATRIC CARE

NPI Number
1619325784
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED PEDIATRIC CARE
Primary location
943 CESERY BLVD BLDG G
JACKSONVILLE, FL 32211
Phone: (904) 861-1330 Fax: (904) 600-0402
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NOORJAHAN ALI
OWNER
Phone: (904) 861-1330
Updated
Certification Date
Mar 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL 126160

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.