Organization
NORTHEAST FLORIDA PEDIATRIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO PENA-ARIET M.D. (MEDICAL DOCTOR)
(904) 221-4325
Entity
Organization
Contact information
Practice address
13595 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3256
(904) 221-4325
(904) 221-9167
Mailing address
13595 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3256
(904) 221-4325
(904) 221-9167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004418500
—
FL
Enumeration date
01/17/2007
Last updated
06/17/2020
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