INDEPENDENT PEDIATRICIANS OF NORTH FL INC (NPI# 1386723005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386723005 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PEDIATRICIANS OF NORTH FL INC |
| Practice Address |
4051 Atlantic Blvd Jacksonville FL 32207-2036 |
| Practice Telephone | 9044939702 |
| Practice Fax Number | 9044939700 |
| Mailing Telephone | 9044939702 |
| Mailing Fax Number | 9044939700 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MRS. PAULETTE L TRESSLER (ADMINISTRATOR) |
| Authorized Official Telephone | 9044939702 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | ME56953 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 042374200 | 05 | |
| FL | 277263904 | 05 | |
| FL | ME LICENSE | ME91195 | 01 |
| FL | 273107000 | 05 | |
| FL | ME LICENSE | ME32409 | 01 |
| FL | LICENSE | ARNP9180604 | 01 |
| FL | 055661101 | 05 | |
| FL | 273661600 | 05 | |
| FL | 277263900 | 05 | |
| FL | 277263905 | 05 | |
| FL | ME LICENSE | ME38917 | 01 |
| FL | ME LICENSE | ME44431 | 01 |
| FL | ME LICENSE | ME55120 | 01 |
| FL | ME LICENSE | ME63783 | 01 |
| FL | 066208900 | 05 | |
| FL | O'RIELLY MD PA | 1285741348 | 01 |
| FL | 277393700 | 05 | |
| FL | LICENSE | ARNP3253072 | 01 |
| FL | ME LICENSE | ME6612 | 01 |
| FL | ME LICENSE | ME92233 | 01 |
| FL | 277263902 | 05 | |
| FL | ME LICENSE | ME62891 | 01 |
| FL | 260365900 | 05 | |
| FL | 277263903 | 05 | |
| FL | 306870600 | 05 | |
| FL | ME LICENSE | ME56953 | 01 |
| FL | ME LICENSE | ME57974 | 01 |
| FL | 271318700 | 05 | |
| FL | 277263901 | 05 | |
| FL | ME LICENSE | ME100160 | 01 |
| Street Address |
4051 ATLANTIC BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639282791 | Mary E Soha | Specialist | 4051 Atlantic Blvd, Jacksonville, FL 32207-2036 | 2006-08-15 |
| 1538635974 | Sara Elizabeth Birk | Physician Assistant | 4051 Atlantic Blvd, Jacksonville, FL 32207-2036 | 2018-10-23 |
| 1164751707 | Dr. Mary's Place | Nurse Practitioner | 4051 Atlantic Blvd, Jacksonville, FL 32207-2036 | 2009-12-10 |
| 1578792032 | Dr. Mary Soha, M.d.,inc. | Pediatrics | 4051 Atlantic Blvd, Jacksonville, FL 32207-2036 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518011972 | Dennis Stone | Legal Medicine | 3408 State Road 13, Jacksonville, FL 32259-9270 | 2007-01-23 |
| 1609933514 | Ladiga Medical, LLC | Legal Medicine | 1460 2nd Ave Sw # A, Jacksonville, AL 36265-3358 | 2007-01-02 |
| 1679011969 | Jacksonville Internal Medicine & Wellness LLC | Legal Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2017-02-07 |
| 1396952784 | Progressive Pediatrics,llc | Legal Medicine | 1539 Parental Home Rd, Jacksonville, FL 32216-3009 | 2007-05-17 |
| 1033128152 | Ernst Nicolitz Md Pa | Legal Medicine | 7051 Southpoint Pkwy, 3rd Floor, Jacksonville, FL 32216-8709 | 2006-08-07 |
| 1225068513 | Lourdes Carolina Ceron-canas | Legal Medicine | 1539 Parental Home Rd, Jacksonville, FL 32216 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074561 | Joy Harris | Legal Medicine | 1950 Se Port St Lucie Blvd Ste 217, Port St Lucie, FL 34952-5579 | 2018-02-26 |
| 1386016137 | International Spine Center | Legal Medicine | 1310 Gulf Blvd Apt 2g, Clearwater, FL 33767-2859 | 2015-10-20 |
| 1639579923 | Duclos Dessalines | Legal Medicine | 4519 Lake Worth Rd, Greenacres, FL 33463-3449 | 2014-08-25 |
| 1679908867 | New Smyrna Pain & Injury Clinic | Legal Medicine | 421 N Causeway, New Smyrna Beach, FL 32169-5266 | 2013-09-06 |
| 1568710853 | Fmb Medical LLC | Legal Medicine | 7205 Estero Blvd Ste 733, Fort Myers Beach, FL 33931-4779 | 2012-08-17 |
| 1699047159 | Lazaro A Cabrera | Legal Medicine | 5575 Sw 77th Ct Apt 204b, Miami, FL 33155-4318 | 2012-01-30 |
| 1891074084 | Wellmed Medical Center | Legal Medicine | 9621 Bird Rd, Miami, FL 33165-4030 | 2011-08-05 |
| 1528377603 | William M. Escoffery | Legal Medicine | 300 Harbor Blvd Ste C, N/a, Destin, FL 32541-2370 | 2010-10-06 |
| 1538478086 | Nob Hill Medical Center, Inc. | Legal Medicine | 10098 W Mcnab Rd, Tamarac, FL 33321-1895 | 2010-10-01 |
| 1780992644 | Daniel Hunt II | Legal Medicine | 2160 Anchor Ave, Deland, FL 32720-2382 | 2010-09-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on INDEPENDENT PEDIATRICIANS OF NORTH FL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.