JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC


Address: 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655
Phone: 9043883351

JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC (NPI# 1114458916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114458916
Entity Type Organization
Organization Name JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC
Practice Address 9191 R G Skinner Pkwy
Jacksonville
FL 32256-9655
Mailing Address 13842 Harbor Creek Pl
Jacksonville
FL 32224-6895
Practice Telephone 9043883351
Mailing Telephone 9043883351
Enumeration Date 2017-03-23
Last Update Date 2017-03-27
Authorized Official Name DR. REHAM HASAN (OWNER)
Authorized Official Telephone 9043883351
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Office Location

Street Address 9191 R G SKINNER PKWY
City JACKSONVILLE
State FL
Zip Code 32256-9655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194805085 Arnold Graham Smith Orthopaedic Surgery 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 2006-10-16
1235762113 Simona Zenata Sipos Physician Assistant 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 2020-02-19
1174072722 Jax Home Health, Inc. Home Health 9191 R G Skinner Pkwy, Suite 803, Jacksonville, FL 32256-9655 2016-09-23
1083073092 Chirag V Desai Md LLC Psychiatry & Neurology 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 2016-02-18
1851787261 Emily Knowles Physician Assistant 9191 R G Skinner Pkwy, Suite 603, Jacksonville, FL 32256-9655 2015-04-13
1558771154 Steven Clyde Casto Nurse Practitioner 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 2014-05-05
1508289448 Aruna Avanti Dds.,pa. Dentist 9191 R G Skinner Pkwy, Suite 301, Jacksonville, FL 32256-9655 2014-01-29
1508294802 Home Instead Senior Care Home Health 9191 R G Skinner Pkwy, Ste. 803, Jacksonville, FL 32256-9655 2013-10-23
1154663342 Total Pain Relief LLC Anesthesiology 9191 R G Skinner Pkwy, Ste 303, Jacksonville, FL 32256-9655 2013-03-26
1386985307 Arnold Graham Smith, Md Pa Specialist 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 2013-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891359998 Kids and Families Medical Clinic LLC Pediatrics 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 2019-04-24
1336780907 Sunshine Medical Specialists, LLC Pediatrics 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2019-10-03
1043674864 Lurah Elizabeth Welch Pediatrics 655 W 8th St, Jacksonville, FL 32209-6511 2016-04-07
1750679973 Reham Hasan Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2011-07-21
1205070935 Lydia L Snyder Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2009-04-24
1447315734 Dominique Darmaun Pediatrics 807 Childrens Way, Nemours Children's Clinic, Research 5north, Jacksonville, FL 32207-8426 2006-12-27
1467530626 Nelly Mauras Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-11-02
1992811822 Jose Atilio Canas Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-22
1548375520 Priscila C Gagliardi Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-20
1629183603 Robert C. Olney Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-20
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City JACKSONVILLE
Zip Code 32256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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