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NPI Code Detail

MEDICARE: PEDIATRIC ASSOCIATES AT ARGYLE PA

MEDICARE: PEDIATRIC ASSOCIATES AT ARGYLE 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
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144495466
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC ASSOCIATES AT ARGYLE PA
Provider Business Mailing Address
First Line : PO BOX 440427
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-0005
Country : US
Telephone Number : 904-317-8811
Fax Number : 904-317-4949
Provider Business Practice Location Address
First Line : 8351 WESTPORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-5901
Country : US
Telephone Number : 904-317-8811
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : RUBY RENDON
Credential :
Telephone Number : 904-317-8811
Provider Enumeration Date : 04/28/2008
Last Update Date : 08/17/2023

Similar Medicare Providers

1285682096 — NANCY WINDHAM GARDNER FNP
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
32244-5901
Practice Phone: 904-317-8811
Practice Fax: 904-317-4949
1700891595 — ORLANDO VILLLANUEVA RENDON M.D.
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
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1063557460 — PEDIATRIC ASSOCIATES AT ARGYLE PA
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
32244-5901
Practice Phone: 904-317-8811
Practice Fax: 904-317-4949
1497285639 — MRS. KAYLA ANN GAUGHAN ARNP
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
32244-5901
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Practice Fax: 904-317-4949
1427733526 — JOY DOMONDON FNP
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
32244-5901
Practice Phone: 904-317-8811
Practice Fax:
1205703584 — MRS. MIKAYLA CELESTE FINLEY FNP-BC
Practice Location Address:
8351 WESTPORT RD
JACKSONVILLE, FL
32244-5901
Practice Phone: 904-317-8811
Practice Fax: 904-317-4949

Directions to “PEDIATRIC ASSOCIATES AT ARGYLE PA ” Practice Location

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