JACKSONVILLE WOLFSON CHILDRENS HOSPITAL - NPI 1861854564

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

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About Jacksonville Wolfson Childrens Hospital NPPES

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

JACKSONVILLE WOLFSON CHILDRENS HOSPITAL (NPI 1861854564) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Jacksonville, Florida and active in the NPI registry since March 2016. The organization lists Suzanne Gaeta-barje, Rehab Supervisor, as its authorized official.

NPPES Registry Identity

NPI1861854564

Entity TypeOrganization

Primary Taxonomy261QR0401X

Legal Business NameJACKSONVILLE WOLFSON CHILDRENS HOSPITAL

Location Address14785 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2496

Mailing Address800 Prudential DrJacksonville, FL 32207-8202 · (904) 202-8000

Phone(904) 346-0394

Organization SubpartNo

Authorized OfficialSuzanne Gaeta-barjeRehab Supervisor · (904) 292-1808

Enumeration DateMarch 22, 2016

✔ NPI 1861854564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities

Taxonomy Code261QR0401X

License✔ Licensed in GA · SLP006732

14785 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

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Other Providers at the Same Location NPPES 5

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

RACHEL WEST KEMPFERT DPT

Physical Therapist (Pediatrics)