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NPI Code Detail

MEDICARE: POCKET PEDIATRICS PA

MEDICARE: POCKET PEDIATRICS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
22251P0200XPediatric Physical Therapist
3225X00000XOccupational Therapist
4225100000XPhysical Therapist
5222Q00000XDevelopmental Therapist
6171W00000XContractor
7252Y00000XEarly Intervention Provider Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11144432568OTHERFLNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801502414
Entity Type Code : Organization
Provider Name (Legal Business Name) : POCKET PEDIATRICS PA
Provider Business Mailing Address
First Line : 3253 SW 121ST WAY
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-0225
Country : US
Telephone Number : 727-457-0101
Fax Number :
Provider Business Practice Location Address
First Line : 3253 SW 121ST WAY
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-0225
Country : US
Telephone Number : 727-457-0101
Fax Number :
Authorized Official
Title or Position : OWNER/DEVELOPMENTAL THERAPIST
Name : CARMELA M JONES
Credential : RN
Telephone Number : 727-457-0101
Provider Enumeration Date : 01/26/2023
Last Update Date : 02/19/2026

Similar Medicare Providers

1679172050 — ELIZABETH BELLO
Practice Location Address:
3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225
Practice Phone: 727-457-0101
Practice Fax:
1578216669 — MEGAN MECKLER
Practice Location Address:
3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225
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Practice Fax:
1861238305 — JULIA JONES
Practice Location Address:
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GAINESVILLE, FL
32608-0225
Practice Phone: 727-457-1240
Practice Fax:
1295535953 — MIRANDA ANDREWS ITDS
Practice Location Address:
3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225
Practice Phone: 727-457-0101
Practice Fax:
1275421026 — BROOKE ALLISON VALLAS
Practice Location Address:
3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225
Practice Phone: 727-457-0101
Practice Fax:
1285506444 — ALANA JOY BREEDEN PT
Practice Location Address:
3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225
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Directions to “POCKET PEDIATRICS PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.