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FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC NPI 1699137182


NPI Information

NPI: 1699137182
Provider Name: FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC
Classification: Pediatrics - 2080P0208X
Entity Type: Organization

Specialization: Pediatric Infectious Diseases

CLIA Number: 10D2105214

Address:
1555 KINGSLEY AVE
STE. 201
ORANGE PARK, FL
ZIP 32073
Phone: (904) 398-5614
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FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC is a pediatric infectious diseases pediatrics in Orange Park, FL. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. FIRST COAST PEDIATRIC INFECTIOUS DISEASE LLC NPI is 1699137182. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1555 KINGSLEY AVE
STE. 201
ORANGE PARK, FL
ZIP 32073-560
Phone: (904) 398-5614
Fax: (904) 398-5617

The provider's authorized official is Sebastian R Stanciu .
The authorized official title is Owner and has the following contact phone number (904) 398-5614.

The CLIA number assigned to this NPI record is 10D2105214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseME89939FLORIDANo
22080P0208XPediatricsPediatric Infectious DiseasesME89939FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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