Pediatric Innovation Center, LLC
Pediatric Innovation Center, LLC is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13241 Bartram Park Blvd Ste 209Jacksonville, FL 32258-5212
Phone: (904) 616-2772
Fax: (904) 674-2313
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence ME86016 (FL) |
|---|
Record details
| NPI number | 1457805756 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashraf Affan — President · (904) 616-2772 |
| NPI enumerated | August 4, 2016 |
| Last updated in NPPES | August 4, 2016 |
| Mailing address | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 |
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