Organization
PEDIATRIX,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PETER CARZOLI MD (MEDICAL DIRECTOR)
(904) 393-7910
Entity
Organization
Contact information
Practice address
4205 BELFORT RD, 4090, JACKSONVILLE, FL 32216-1471
(904) 296-7910
(904) 296-9081
Mailing address
5229 RIVER FOREST DR, JACKSONVILLE, FL 32211-4553
(904) 745-3614
(904) 308-2930
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1053912
FL
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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