Organization
PEDIATRIC SERVICES OF AMERICA, INC.
Active
Organization
PEDIATRIC SERVICES OF AMERICA, INC.
Active
Other names
PSA Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DALE VALENTINE (VP COMPLIANCE OFFICER)
(770) 248-8757
Entity
Organization
Contact information
Practice address
4051 PHILLIPS HWY, SUITE 2, JACKSONVILLE, FL 32207-9305
(904) 731-0030
(904) 731-0766
Mailing address
310 TECHNOLOGY PKWY, NORCROSS, GA 30092-2932
(770) 441-1580
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
PPC60080961
FL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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