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Organization
INDEPENDENT PEDIATRICIANS OF NORTH FL INC
Active
Organization
INDEPENDENT PEDIATRICIANS OF NORTH FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE L TRESSLER ADMINISTRATOR (ADMINISTRATOR)
(904) 493-9702
Entity
Organization
Contact information
Practice address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 493-9702
(904) 493-9700
Mailing address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 493-9702
(904) 493-9700
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME56953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042374200
—
FL
05
—
055661101
—
FL
05
—
066208900
—
FL
01
—
1285741348
O'RIELLY MD PA
FL
05
—
260365900
—
FL
05
—
271318700
—
FL
05
—
273107000
—
FL
05
—
273661600
—
FL
05
—
277263900
—
FL
05
—
277263901
—
FL
05
—
277263902
—
FL
05
—
277263903
—
FL
05
—
277263904
—
FL
05
—
277263905
—
FL
05
—
277393700
—
FL
05
—
306870600
—
FL
01
—
ARNP3253072
LICENSE
FL
01
—
ARNP9180604
LICENSE
FL
01
—
ME100160
ME LICENSE
FL
01
—
ME32409
ME LICENSE
FL
01
—
ME38917
ME LICENSE
FL
01
—
ME44431
ME LICENSE
FL
01
—
ME55120
ME LICENSE
FL
01
—
ME56953
ME LICENSE
FL
01
—
ME57974
ME LICENSE
FL
01
—
ME62891
ME LICENSE
FL
01
—
ME63783
ME LICENSE
FL
01
—
ME6612
ME LICENSE
FL
01
—
ME91195
ME LICENSE
FL
01
—
ME92233
ME LICENSE
FL
Enumeration date
11/03/2006
Last updated
09/08/2008
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