Organization
NEMOURS CHILDREN'S HEALTH, ORMOND BEACH, PRIMARY CARE
Active
Parent organization
CHILDREN'S HEALTH ALLIANCE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HEALTH ALLIANCE, LLC
Authorized official
ROBERT BRIDGES (EVP, OPERATIONS)
(904) 697-4000
Entity
Organization
Contact information
Practice address
400 CLYDE MORRIS BLVD STE A, ORMOND BEACH, FL 32174-8172
(407) 237-9700
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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