Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Children's Medical Group PA

Organization Specialist · NPI 1932180452

Children's Medical Group PA is a Specialist in Jacksonville, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4131 University Blvd S 16
Jacksonville, FL 32216-4326
Phone: (907) 733-7408
Fax: (904) 733-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1932180452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Zimmerman — President · (907) 268-6725
NPI enumeratedNovember 10, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4131 University Blvd S, 16, Jacksonville, FL 32216-4326

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