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NPI Code Detail

MEDICARE: OCEANSIDE PEDIATRICS

MEDICARE: OCEANSIDE PEDIATRICS
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
245122OTHERFLBCBS GROUP ID

General Provider Information

NPI Number : 1356458228
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEANSIDE PEDIATRICS
Provider Business Mailing Address
First Line : 1370 13TH AVE S
Second Line : STE 216
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3230
Country : US
Telephone Number : 904-246-8480
Fax Number : 904-246-8578
Provider Business Practice Location Address
First Line : 1370 13TH AVE S
Second Line : STE 216
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3230
Country : US
Telephone Number : 904-246-8480
Fax Number : 904-246-8578
Authorized Official
Title or Position : OWNER
Name : BARBARA O'REILLY
Credential : M.D., P.A.
Telephone Number : 904-246-8480
Provider Enumeration Date : 08/24/2006
Last Update Date : 01/06/2011

Similar Medicare Providers

1336476795 — LYERLY BAPTIST INC
Practice Location Address:
1370 13TH AVE S , SUITE 215
JACKSONVILLE BEACH, FL
32250-3230
Practice Phone: 904-249-1041
Practice Fax: 904-249-9764
1174500029 — CHERYL LYNN DIXON MD
Practice Location Address:
1370 13TH AVE S , SUITE 121
JACKSONVILLE, FL
32250-3230
Practice Phone: 904-421-2119
Practice Fax:
1477582716 — JOANNA MATHENEY RPH
Practice Location Address:
1370 13TH AVE S , SUITE 117
JACKSONVILLE BEACH, FL
32250-3230
Practice Phone: 904-390-3601
Practice Fax: 904-858-3053
1730296765 — ANN VONTHRON M.D.
Practice Location Address:
1370 13TH AVE S , STE 216
JACKSONVILLE BEACH, FL
32250-3230
Practice Phone: 904-246-8480
Practice Fax: 904-246-8578
1891802815 — ELENA MODEL-RYBAKOVA M.D.
Practice Location Address:
1370 13TH AVE S , STE 216
JACKSONVILLE BEACH, FL
32250-3230
Practice Phone: 904-246-8480
Practice Fax: 904-246-8578
1285741348 — BARBARA O'REILLY M.D., P.A.
Practice Location Address:
1370 13TH AVE S , STE. 216
JACKSONVILLE BEACH, FL
32250-3230
Practice Phone: 904-246-8480
Practice Fax: 904-246-8578

Directions to “OCEANSIDE PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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