JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC
NPI 1114458916
Pediatrics - Pediatric Endocrinology in Jacksonville, FL

Active since March 23, 2017
9191 R G SKINNER PKWY, JACKSONVILLE, FL 32256(904) 388-3351 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2017, Mar 23, 2017 (2 updates tracked since 2017).

About Jacksonville Pediatric Endocrinology Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC (NPI 1114458916) is a healthcare organization registered as a pediatric endocrinology in Jacksonville, Florida and active in the NPI registry since March 2017. The organization lists Reham Hasan, Owner, as its authorized official.

NPPES Registry Identity

NPI1114458916
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NameJACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC
Location Address9191 R G SKINNER PKWYJacksonville, FL 32256-9655
Mailing Address13842 Harbor Creek PlJacksonville, FL 32224-6895 · (904) 388-3351
Organization SubpartNo
Authorized OfficialReham HasanOwner · (904) 388-3351
Enumeration DateMarch 23, 2017
Last NPPES UpdateMarch 27, 20172 updates tracked since enumeration
NPI 1114458916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
9191 R G SKINNER PKWY, Jacksonville, FL 32256

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
9191 R G SKINNER PKWY
JACKSONVILLE, FL 32256
Chiropractor
9191 R G SKINNER PKWY, 503
JACKSONVILLE, FL 32256
Home Health
9191 R G SKINNER PKWY, SUITE 803
JACKSONVILLE, FL 32256
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9191 R G SKINNER PKWY, SUITE 103
JACKSONVILLE, FL 32256
Physician Assistant
9191 R G SKINNER PKWY
JACKSONVILLE, FL 32256
Specialist/Technologist (Athletic Trainer)
9191 R G SKINNER PKWY, SUITE 703
JACKSONVILLE, FL 32256
Specialist
9191 R G SKINNER PKWY, SUITE 103
JACKSONVILLE, FL 32256
Anesthesiology
9191 R G SKINNER PKWY, SUITE 601
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Pediatric Endocrinology Clinic PLLC's NPI number?

The NPI number for Jacksonville Pediatric Endocrinology Clinic PLLC is 1114458916. It was assigned to this organization in the NPPES registry on March 23, 2017.

Where is Jacksonville Pediatric Endocrinology Clinic PLLC located?

Jacksonville Pediatric Endocrinology Clinic PLLC is located at 9191 R G Skinner Pkwy, Jacksonville, FL 32256. The listed phone number is (904) 388-3351.

What is Jacksonville Pediatric Endocrinology Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

When was this NPI record last updated?

The NPPES record for Jacksonville Pediatric Endocrinology Clinic PLLC was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.