JACKSONVILLE PEDIATRIC ASSOCIATES – NPI #1801216155
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.

Health Care Provider Taxonomy Code for Pediatrics

JACKSONVILLE PEDIATRIC ASSOCIATES is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1801216155 to JACKSONVILLE PEDIATRIC ASSOCIATES on April 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSONVILLE PEDIATRIC ASSOCIATES” is a dba name, the actual legal business name for this organization is PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC. 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 6 years ago on Aug 25, 2020. 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 JACKSONVILLE PEDIATRIC ASSOCIATES below.

NPI Profile for
PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC

NPI Number
1801216155
Enumeration Date

(more than 12 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
PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC
Doing Business As (dba): JACKSONVILLE PEDIATRIC ASSOCIATES
Primary location
4972 TOWN CENTER PKWY # 301
JACKSONVILLE, FL 32246
Phone: (904) 642-6100 Fax: (904) 642-5154
Mailing address
900 S PINE ISLAND RD
800
PLANTATION, FL 33324-3920
Phone: (904) 642-6100 Fax: (904) 642-5154
Organization Subpart
Yes - JACKSONVILLE PEDIATRIC ASSOCIATES is subpart of another organization.
Authorized Official
PATRICIA CORSIATTO
DIRECTOR
Phone: (954) 967-6400
Updated
Certification Date
Aug 25, 2020

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.

Identifiers

Identifiers for JACKSONVILLE PEDIATRIC ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL011962600
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)

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.