Provider Type Icon

JACKSONVILLE WOLFSON CHILDRENS HOSPITAL NPI 1861854564


NPI Information

NPI: 1861854564
Provider Name: JACKSONVILLE WOLFSON CHILDRENS HOSPITAL
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
14785 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 346-0394
Get Directions

JACKSONVILLE WOLFSON CHILDRENS HOSPITAL is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Jacksonville, FL. JACKSONVILLE WOLFSON CHILDRENS HOSPITAL NPI is 1861854564. The provider is registered as an organization entity type.

The provider's business location address is:

14785 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32258-496
Phone: (904) 346-0394

The provider's authorized official is Suzanne Gaeta-barje .
The authorized official title is Rehab Supervisor and has the following contact phone number (904) 292-1808.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.


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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)SLP006732GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.