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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