Organization
OCEANSIDE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA O'REILLY M.D., P.A. (OWNER)
(904) 246-8480
Entity
Organization
Contact information
Practice address
1370 13TH AVE S, STE 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Mailing address
1370 13TH AVE S, STE 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271318700
—
FL
01
—
45122
BCBS GROUP ID
FL
Enumeration date
08/24/2006
Last updated
01/06/2011
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