PEDIATRIC INNOVATION CENTER, LLC
NPI 1457805756
Pediatrics in Jacksonville, FL

Q: What is Pediatric Innovation Center, LLC's NPI number?

The NPI number for Pediatric Innovation Center, LLC is 1457805756. It was assigned to this organization in the NPPES registry on August 4, 2016.

Q: What is Pediatric Innovation Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 04, 2016

13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 32258(904) 616-2772(904) 674-2313 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Innovation Center, Llc NPPES

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

PEDIATRIC INNOVATION CENTER, LLC (NPI 1457805756) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since August 2016. The organization lists Ashraf Affan, President, as its authorized official.

NPPES Registry Identity

NPI1457805756

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC INNOVATION CENTER, LLC

Location Address13241 BARTRAM PARK BLVD, SUITE 209Jacksonville, FL 32258-5212

Mailing Address13241 Bartram Park Blvd, Suite 209Jacksonville, FL 32258-5212 · (904) 616-2772 · Fax (904) 674-2313

Phone(904) 616-2772

Fax(904) 674-2313

Organization SubpartNo

Authorized OfficialAshraf AffanPresident · (904) 616-2772

Enumeration DateAugust 4, 2016

✔ NPI 1457805756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME86016

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

13241 BARTRAM PARK BLVD, Jacksonville, FL 32258

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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 20

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

RAILING CHIROPRACTIC & ACUPUNCTURE

Chiropractor

13241 BARTRAM PARK BLVD, 509
JACKSONVILLE, FL 32258

Duval County (386) 882-2056

MRS. KATHERINE M BYRA MD

Pediatrics

13241 BARTRAM PARK BLVD, SUITE # 209
JACKSONVILLE, FL 32258

Duval County (904) 242-4220

BETH A. MEDINA, MS, LMHC, PA

Counselor (Mental Health)

13241 BARTRAM PARK BLVD, STE. 301
JACKSONVILLE, FL 32258

Duval County (904) 268-1696

MRS. JENNA LEA MARSHALL PA

Physician Assistant

13241 BARTRAM PARK BLVD
JACKSONVILLE, FL 32258

Duval County (904) 402-8346

ANGEL KIDS PA

Clinic/Center (Primary Care)

13241 BARTRAM PARK BLVD, SUITE 209
JACKSONVILLE, FL 32258

Duval County (904) 242-4220

BARTRAM PARK DENTAL,PA

Dentist (General Practice)

13241 BARTRAM PARK BLVD, SUITE # 401
JACKSONVILLE, FL 32258

Duval County (904) 553-8791

QUALITY EYE CARE INC

Ophthalmology

13241 BARTRAM PARK BLVD, SUITE 1505
JACKSONVILLE, FL 32258

Duval County (904) 374-6890

VERLON C. BRICKEY, PHD.,P.A.

Counselor (Mental Health)

13241 BARTRAM PARK BLVD, SUITE 301
JACKSONVILLE, FL 32258

Duval County (904) 363-6999

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 Pediatric Innovation Center, LLC's NPI number?

The NPI number for Pediatric Innovation Center, LLC is 1457805756. It was assigned to this organization in the NPPES registry on August 4, 2016.

Where is Pediatric Innovation Center, LLC located?

Pediatric Innovation Center, LLC is located at 13241 Bartram Park Blvd Suite 209, Jacksonville, FL 32258. The listed phone number is (904) 616-2772.

What is Pediatric Innovation Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pediatric Innovation Center, LLC was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.