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

Jacksonville Pediatrics

Organization Pediatric Adolescent Medicine Physician · NPI 1043346745

Jacksonville Pediatrics is a Pediatric Adolescent Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

2606 Park St
Jacksonville, FL 32204-4520
Phone: (904) 388-4646
Fax: (904) 388-9071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X (FL)

Record details

NPI number1043346745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Thornton — Senior Physician · (904) 389-4140
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 21, 2022
Mailing address2606 Park St, Jacksonville, FL 32204-4520

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