Organization
INTEGRATIVE MEDICAL GROUP, USA, LLC
Active
Parent organization
PEDIATRIC ASSOCIATES OF JACKSONVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES OF JACKSONVILLE
Authorized official
AYLIN OZDEMIR M.D. (OWNER)
(904) 233-2888
Entity
Organization
Contact information
Practice address
1102 A1A NORTH, SUITE 104, PONTE VEDRA BEACH, FL 32082
(904) 273-6533
(904) 273-6532
Mailing address
1102 A1A NORTH, SUITE 104, PONTE VEDRA BEACH, FL 32082
(904) 273-6533
(904) 273-6532
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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