ORANGE PARK PEDIATRIC ASSOCIATES, PA - NPI 1205878725

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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About Orange Park Pediatric Associates, Pa NPPES

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

ORANGE PARK PEDIATRIC ASSOCIATES, PA (NPI 1205878725) is a healthcare organization registered as an adolescent medicine in Orange Park, Florida and active in the NPI registry since June 2006. The organization lists Maggie Macy, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1205878725

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameORANGE PARK PEDIATRIC ASSOCIATES, PA

Location Address2140 SMITH STOrange Park, FL 32073-5554

Mailing Address2140 Smith StOrange Park, FL 32073-5554 · (904) 269-2145 · Fax (904) 278-5038

Phone(904) 269-2145

Fax(904) 278-5038

Organization SubpartNo

Authorized OfficialMaggie MacySupervisor · (904) 269-2145

Enumeration DateJune 11, 2006

Last NPPES UpdateDecember 11, 2008

✔ NPI 1205878725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2140 SMITH ST, Orange Park, FL 32073

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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