Organization
PEDIATRIC ASSOCIATES OF JACKSONVILLE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYLIN OZDEMIR M.D. (PEDIATRICIAN/PRESIDENT)
(904) 273-6533
Entity
Organization
Contact information
Practice address
2 FAIRFIELD BLVD, SUITE #11, PONTE VEDRA BEACH, FL 32082-4626
(904) 273-6533
(904) 280-7369
Mailing address
2 FAIRFIELD BLVD, SUITE #11, PONTE VEDRA BEACH, FL 32082-4626
(904) 273-6533
(904) 280-7369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99995
BLUECROSS BLUESHIELD
—
Enumeration date
04/28/2006
Last updated
03/07/2008
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