Organization
JACKSONVILLE PEDIATRICS WORLD GOLF VILLAGE PLLC
Active
Other names
Jacksonville Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C CANTVILLE DO (PHYSICIAN)
(904) 388-4646
Entity
Organization
Contact information
Practice address
130 LAND GRANT STREET, SUITE 3, ST AUGUSTINE, FL 32092
(904) 388-4646
Mailing address
2606 PARK ST, JACKSONVILLE, FL 32204-4520
(904) 388-4646
(904) 388-9017
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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