| NPI | 1720619422 |
|---|---|
| Doing Business As | JACKSONVILLE PEDIATRIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PATRICIA CORSIATTO Director 954-965-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2021-05-19 |