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

Jacksonville Pediatric Endocrinology Clinic PLLC

Organization Pediatric Endocrinology Physician · NPI 1114458916

Jacksonville Pediatric Endocrinology Clinic PLLC is a Pediatric Endocrinology Physician in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9191 R G Skinner Pkwy
Jacksonville, FL 32256-9655
Phone: (904) 388-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X

Record details

NPI number1114458916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reham Hasan — Owner · (904) 388-3351
NPI enumeratedMarch 23, 2017
Last updated in NPPESMarch 27, 2017
Mailing address13842 Harbor Creek Pl, Jacksonville, FL 32224-6895

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