Healthcare Provider Details

I. General information

NPI: 1811324965
Provider Name (Legal Business Name): DALIA PHILBECK ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15255 MAX LEGGETT PKWY STE 4400
JACKSONVILLE FL
32218-7273
US

IV. Provider business mailing address

15255 MAX LEGGETT PKWY STE 4400
JACKSONVILLE FL
32218-7273
US

V. Phone/Fax

Practice location:
  • Phone: 904-383-1000
  • Fax:
Mailing address:
  • Phone: 904-427-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9267775
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP 9267775
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: