Organization
STARFISH PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MARIA MD (OWNER)
(912) 338-5475
Entity
Organization
Contact information
Practice address
4500 HODGES BLVD, SUITE 1, JACKSONVILLE, FL 32224-2207
(904) 347-2773
(904) 647-2647
Mailing address
PO BOX 17774, JACKSONVILLE, FL 32245-7774
(904) 347-2773
(904) 647-2647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 112541
FL
Other
Enumeration date
08/23/2012
Last updated
11/06/2012
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