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Organization

POCKET PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMELA M JONES RN (OWNER/DEVELOPMENTAL THERAPIST)
(727) 457-0101
Entity
Organization

Contact information

Practice address
3253 SW 121ST WAY, GAINESVILLE, FL 32608-0225
(727) 457-0101
Mailing address
3253 SW 121ST WAY, GAINESVILLE, FL 32608-0225
(727) 457-0101

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
Primary
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144432568
NPI
FL
Enumeration date
01/26/2023
Last updated
03/05/2026
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