Organization
CHILDREN'S HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA WINDLE (MANAGER)
(904) 228-2402
Entity
Organization
Contact information
Practice address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-5561
(904) 398-1460
Mailing address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-5561
(904) 398-1460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013036900
—
FL
05
—
044852400
—
FL
05
—
271799900
—
FL
05
—
370220100
—
FL
Enumeration date
03/02/2017
Last updated
03/02/2017
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