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DR. MARY'S PLACE
NPI 1164751707
Nurse Practitioner - Pediatrics in Jacksonville, FL

Active since December 10, 2009
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207(904) 393-4700(904) 493-9700 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Mary's Place NPPES

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

DR. MARY'S PLACE (NPI 1164751707) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since December 2009. The organization lists Cara Marie D'amico, Pediatric Arnp, as its authorized official.

NPPES Registry Identity

NPI1164751707
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameDR. MARY'S PLACE
Location Address4051 ATLANTIC BLVDJacksonville, FL 32207-2036
Mailing Address4051 Atlantic BlvdJacksonville, FL 32207-2036 · (904) 393-4700 · Fax (904) 493-9700
Phone(904) 393-4700
Fax(904) 493-9700
Organization SubpartNo
Authorized OfficialCara Marie D'amicoPediatric Arnp · (904) 642-6100
Enumeration DateDecember 10, 2009
Last NPPES UpdateApril 29, 2011
✔ NPI 1164751707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP9271693
4051 ATLANTIC BLVD, Jacksonville, FL 32207
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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 4

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

INDEPENDENT PEDIATRICIANS OF NORTH FL INC
Legal Medicine
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Duval County (904) 493-9702
SARA ELIZABETH BIRK PA-C
Physician Assistant
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Duval County (904) 393-4700
DR. MARY SOHA, M.D.,INC.
Pediatrics
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Duval County (904) 393-4700
DR. MARY E SOHA M.D.
Specialist
4051 ATLANTIC BLVD
JACKSONVILLE, FL 32207
Duval County (904) 393-4700

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 Dr. Mary's Place's NPI number?

The NPI number for Dr. Mary's Place is 1164751707. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Dr. Mary's Place located?

Dr. Mary's Place is located at 4051 Atlantic Blvd, Jacksonville, FL 32207. The listed phone number is (904) 393-4700.

What is Dr. Mary's Place's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Dr. Mary's Place was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.