Healthcare Provider Details

I. General information

NPI: 1073542544
Provider Name (Legal Business Name): PAMELA FLORENCE LOVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W 8TH ST DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

655 W 8TH ST DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE
JACKSONVILLE FL
32209-6511
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-4986
  • Fax:
Mailing address:
  • Phone: 904-244-4986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number30161
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number25MA09948600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: