Organization
JOHN ASSI, MD, PA
Active
Other names
Children's Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M ASSI MD (OWNER)
(904) 398-1471
Entity
Organization
Contact information
Practice address
1522 EMERSON ST, JACKSONVILLE, FL 32207-6102
(904) 396-3964
Mailing address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-1471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000802100
—
FL
05
—
049478000
—
FL
05
—
261957100
—
FL
05
—
263972600
—
FL
05
—
263972601
—
FL
05
—
263972602
—
FL
05
—
263972603
—
FL
05
—
263972604
—
FL
05
—
263972605
—
FL
05
—
263972606
—
FL
05
—
264779600
—
FL
05
—
270050600
—
FL
05
—
270738100
—
FL
05
—
271710700
—
FL
05
—
271799900
—
FL
05
—
273550400
—
FL
05
—
274771500
—
FL
05
—
277454200
—
FL
Enumeration date
05/17/2007
Last updated
04/23/2009
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