# DR. MARY'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164751707
- **Authorized official:** MS. CARA MARIE D'AMICO C-PNP, ARNP (PEDIATRIC ARNP)
- **Authorized official phone:** (904) 642-6100

## Contact information

- **Practice address:** 4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
- **Practice address phone:** (904) 393-4700
- **Practice address fax:** (904) 493-9700
- **Mailing address:** 4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
- **Mailing address phone:** (904) 393-4700
- **Mailing address fax:** (904) 493-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | ARNP9271693 | FL | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 04/29/2011