Organization
BEACHES PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE RIVERA-JIMENEZ M.D. (PRESIDENT)
(904) 246-8684
Entity
Organization
Contact information
Practice address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 260-2565
Mailing address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 260-2565
(904) 246-6878
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018225000
—
FL
Enumeration date
11/12/2008
Last updated
05/03/2024
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