Healthcare Provider Details

I. General information

NPI: 1366462103
Provider Name (Legal Business Name): 24/7 PEDIATRIC CARE CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 THIRD AVENUE S.
JACKSONVILLE BEACH FL
32250
US

IV. Provider business mailing address

274 THIRD AVENUE SOUTH
JACKSONVILLE BEACH FL
32250
US

V. Phone/Fax

Practice location:
  • Phone: 904-249-3373
  • Fax: 904-249-3371
Mailing address:
  • Phone: 904-249-3373
  • Fax: 904-249-3371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NORBERTO BENITEZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 904-249-3373