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CSI SPECIAL CARE
NPI 1760803852
Clinic/Center - Health Service in Jacksonville, FL

Active since December 17, 2013
1855 CASSAT AVE, JACKSONVILLE, FL 32210(904) 380-9099(904) 384-4885 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2022, Mar 14, 2016 (2 updates tracked since 2016).

About Csi Special Care NPPES

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

CSI SPECIAL CARE (NPI 1760803852) is a healthcare organization registered as a health service in Jacksonville, Florida and active in the NPI registry since December 2013. The organization lists Donna Lodato, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760803852
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCSI-PEDIATRIC SERVICES, LLC
Location Address1855 CASSAT AVEJacksonville, FL 32210-1634
Mailing Address15050 Nw 79th Ct Ste 201Miami Lakes, FL 33016-5810 · (865) 229-6007
Phone(904) 380-9099
Fax(904) 384-4885
Organization SubpartYesParent: Pediatric Holdings, Llc
Authorized OfficialDonna LodatoCeo · (786) 522-9600
Enumeration DateDecember 17, 2013
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1760803852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in FL · 60080998
1855 CASSAT AVE, Jacksonville, FL 32210
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Other Names 2

Doing Business AsCsi Special Care
Other NameSpark Pediatrics

Other Identifiers 1

Medicaid024128100FL

Other Providers at the Same Location NPPES 2

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

TONYA AYCOCK LMT
Massage Therapist
1855 CASSAT AVE, STE 1
JACKSONVILLE, FL 32210
Duval County (904) 677-6143
IDEAL PUGH
Day Training, Developmentally Disabled Services
1855 CASSAT AVE, SUITE 11
JACKSONVILLE, FL 32210
Duval County (904) 381-7060

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 Csi-Pediatric Services, LLC's NPI number?

The NPI number for Csi-Pediatric Services, LLC is 1760803852. It was assigned to this organization in the NPPES registry on December 17, 2013. The provider is doing business as Csi Special Care. The provider is also known as Spark Pediatrics.

Where is Csi-Pediatric Services, LLC located?

Csi-Pediatric Services, LLC is located at 1855 Cassat Ave, Jacksonville, FL 32210. The listed phone number is (904) 380-9099.

What is Csi-Pediatric Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Csi-Pediatric Services, LLC was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.