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Children's Medical Group Pa
Specialist in Jacksonville, Florida
NPI 1932180452

Children's Medical Group Pa is a Specialist based in Jacksonville, FL. Children's Medical Group Pa practices in Jacksonville, FL. The NPI Number for Children's Medical Group Pa is 1932180452 and holds a License No. (Florida).

The current practice location address for Children's Medical Group Pa is 4131 University Blvd S, Jacksonville, FL and can be reached out via phone at 907-733-7408 and via fax at 904-733-7668.

Location: 4131 University Blvd S, Jacksonville, FL, 32216-4326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932180452
Provider Name
Children's Medical Group Pa
Credential
Provider Entity Type
Organization
Address
4131 University Blvd S, Jacksonville, FL, 32216-4326
Phone Number
907-733-7408
Fax Number
904-733-7668
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00149 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
4131 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4326
Phone Number
907-733-7408
Fax Number
904-733-7668
person
Provider Business Mailing Address Details
Address
4131 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4326
Phone Number
907-733-7408
Fax Number
904-733-7668
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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