Organization
ORANGE PARK PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGGIE MACY (SUPERVISOR)
(904) 269-2145
Entity
Organization
Contact information
Practice address
2140 SMITH ST, ORANGE PARK, FL 32073-5554
(904) 269-2145
(904) 278-5038
Mailing address
2140 SMITH ST, ORANGE PARK, FL 32073-5554
(904) 269-2145
(904) 278-5038
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
12/11/2008
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