Organization
JACKSONVILLE PEDIATRIC ASSOCIATES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE MANUEL SILVA M.D. (PRESIDENT)
(904) 642-6100
Entity
Organization
Contact information
Practice address
8774 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 642-6100
(904) 642-5154
Mailing address
8774 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 642-6100
(904) 642-5154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0044830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375327100
—
FL
05
—
375327101
—
FL
05
—
375327102
—
FL
Enumeration date
07/07/2005
Last updated
01/13/2012
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