CSI-PEDIATRIC SERVICES, INC.


Address: 10750 Atlantic Blvd, Suite 11, Jacksonville, FL 32225-2946
Phone: 9043800419

CSI-PEDIATRIC SERVICES, INC. (NPI# 1407277171) 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) 1407277171
Entity Type Organization
Organization Name CSI-PEDIATRIC SERVICES, INC.
Other Organization Name CSI SPECIAL CARE
Practice Address 10750 Atlantic Blvd
Suite 11
Jacksonville
FL 32225-2946
Practice Telephone 9043800419
Practice Fax Number 9045643716
Mailing Telephone 9043800419
Mailing Fax Number 9045643716
Enumeration Date 2013-12-26
Last Update Date 2016-03-14
Authorized Official Name MARIA RODRIGUEZ (VP OF PROVIDER SERVCES)
Authorized Official Telephone 3059670854
Authorized Official Credential RN, BSN, WOCN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
60081003 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 003412105 05

Other Provider/Organization Names

Other Name Type Code
CSI Special Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427501782 Csi-pediatric Services, Inc. Clinic/Center 1788 Se Indian St, Unit J, K, Stuart, FL 34997-4919 2016-08-03
1982072328 Csi-pediatric Services, Inc. Clinic/Center 11200 Sw 8th Street Modesto A Maidique Campus, Parking Garage 6 Suite 175, Miami, FL 33199-0001 2015-09-02
1366828394 Csi-pediatric Services, Inc. Clinic/Center 1720 S Congress Ave, Palm Springs, FL 33461-2140 2015-07-31
1114301587 Csi-pediatric Services, Inc. Clinic/Center 530 Sw 1st St, Suite 301-304, Florida City, FL 33034-4806 2015-07-16
1790231827 Csi-pediatric Services, Inc. Clinic/Center 3040 Dyer Blvd, Suite 3028, 3030, Kissimmee, FL 34741-7839 2016-08-29
1760803852 Csi-pediatric Services, Inc. Clinic/Center 1855 Cassat Ave, Jacksonville, FL 32210-1634 2013-12-17

Office Location

Street Address 10750 ATLANTIC BLVD
SUITE 11
City JACKSONVILLE
State FL
Zip Code 32225-2946

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City JACKSONVILLE
Zip Code 32225

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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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