Organization
BALDWIN PEDIATRIX
Active
Other names
Mango Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
RUBINA AZAM MD (OWNER)
(904) 853-1763
Entity
Organization
Contact information
Practice address
6789 SOUTHPOINT PKWY STE 202, JACKSONVILLE, FL 32216-8206
(904) 853-1763
(850) 248-2469
Mailing address
PO BOX 551269, JACKSONVILLE, FL 32255-1269
(904) 853-1763
(850) 248-2469
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127652200
—
FL
Enumeration date
04/26/2010
Last updated
12/01/2025
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