Organization
PROGRESSIVE PEDIATRICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HEATH MILES MD (OWNER)
(904) 338-0434
Entity
Organization
Contact information
Practice address
1539 PARENTAL HOME RD, JACKSONVILLE, FL 32216-3009
(904) 338-0434
(904) 425-0821
Mailing address
1539 PARENTAL HOME RD, JACKSONVILLE, FL 32216-3009
(904) 338-0434
(904) 425-0821
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME79205
FL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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