Healthcare Provider Details
I. General information
NPI: 1851200869
Provider Name (Legal Business Name): NORTH FLORIDA OB/GYN OF JACKSONVILLE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4131 UNIVERSITY BLVD S STE 10
JACKSONVILLE FL
32216-4346
US
IV. Provider business mailing address
1901 1ST ST N APT 906
JACKSONVILLE BEACH FL
32250-7481
US
V. Phone/Fax
- Phone: 904-536-5224
- Fax:
- Phone: 904-249-6307
- Fax: 904-249-6636
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BABU
V
CHITHRIKI
Title or Position: SOLE MEMBER
Credential: MD
Phone: 904-536-5224