1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Specialist
  6. NPI Profile

CHILDREN'S MEDICAL GROUP PA
NPI 1932180452
Specialist in Jacksonville, FL

Active since November 10, 2005
4131 UNIVERSITY BLVD S, 16, JACKSONVILLE, FL 32216(907) 733-7408(904) 733-7668 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Children's Medical Group Pa NPPES

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

CHILDREN'S MEDICAL GROUP PA (NPI 1932180452) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since November 2005. The organization lists Dale Franklin Zimmerman, President, as its authorized official.

NPPES Registry Identity

NPI1932180452
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHILDREN'S MEDICAL GROUP PA
Location Address4131 UNIVERSITY BLVD S, 16Jacksonville, FL 32216-4326
Mailing Address4131 University Blvd S, 16Jacksonville, FL 32216-4326 · (907) 733-7408 · Fax (904) 733-7668
Phone(907) 733-7408
Fax(904) 733-7668
Organization SubpartNo
Authorized OfficialDale Franklin ZimmermanPresident · (907) 268-6725
Enumeration DateNovember 10, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932180452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4131 UNIVERSITY BLVD S, Jacksonville, FL 32216
Open in Google Maps ↗

Other Identifiers 1

Other00149FL · Bcbs

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.

ANGELA NICOLE BROWN
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
JELTSJE WILLEMIEN DERKSEN PT
Physical Therapist
4131 UNIVERSITY BLVD S, SUITE 17
JACKSONVILLE, FL 32216
Duval County (904) 722-1515
MISS NAKIESHA LYNN THOMPSON
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 923-7618
JOHN C HACKENBERG D.O.
Family Medicine
4131 UNIVERSITY BLVD S, BLDG #8
JACKSONVILLE, FL 32216
Duval County (904) 733-3992
DR. HENRY LEPELY M.D.
Psychiatry & Neurology (Psychiatry)
4131 UNIVERSITY BLVD S, BLDG 7
JACKSONVILLE, FL 32216
Duval County (904) 737-1300
WALTER MCCLINTON MS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 716-3181
SYDNE M HENNINGS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
CHARLES C GREENE, MD, PHD
Otolaryngology
4131 UNIVERSITY BLVD S, BUILDING 18
JACKSONVILLE, FL 32216
Duval County (904) 419-2054

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 Children's Medical Group PA's NPI number?

The NPI number for Children's Medical Group PA is 1932180452. It was assigned to this organization in the NPPES registry on November 10, 2005.

Where is Children's Medical Group PA located?

Children's Medical Group PA is located at 4131 University Blvd S 16, Jacksonville, FL 32216. The listed phone number is (907) 733-7408.

What is Children's Medical Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Children's Medical Group PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.