Organization
PEDIATRIC ASSOCIATES AT ARGYLE PA
Active
Parent organization
PEDIATRIC ASSOCIATES AT ARGYLE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES AT ARGYLE PA
Authorized official
RUBY RENDON (ADMINISTRATOR)
(904) 317-8811
Entity
Organization
Contact information
Practice address
8351 WESTPORT RD, JACKSONVILLE, FL 32244-5901
(904) 317-8811
Mailing address
PO BOX 440427, JACKSONVILLE, FL 32222-0005
(904) 317-8811
(904) 317-4949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101370100
—
FL
05
—
255283300
—
FL
05
—
277899800
—
FL
Enumeration date
04/28/2008
Last updated
08/17/2023
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