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

Northwest Jacksonville Pediatrics, PA

Organization Pediatrics Physician · NPI 1205079662

Northwest Jacksonville Pediatrics, PA is a Pediatrics Physician in Jacksonville, Florida. Registered with an NPI since 2009.

In the registry since
2009
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

3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Phone: (904) 765-5249
Fax: (904) 765-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1205079662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Thompson — Director · (904) 765-5249
NPI enumeratedApril 15, 2009
Last updated in NPPESApril 15, 2009
Mailing address3160 Edgewood Ave W, Jacksonville, FL 32209-2245

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