DE PADUA AND DE PADUA MD PA NPI 1912178922

NPI Information

NPI: 1912178922
Provider Name: DE PADUA AND DE PADUA MD PA

Doing Business As: INDUSTRIAL MEDICINE GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1205 MONUMENT RD
SUITE 203
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 727-5120
Get Directions

DE PADUA AND DE PADUA MD PA is a primary care clinic center in Jacksonville, FL. DE PADUA AND DE PADUA MD PA NPI is 1912178922. The provider is registered as an organization entity type.
The provider Is Doing Business As Industrial Medicine Group.

The provider's business location address is:

1205 MONUMENT RD
SUITE 203
JACKSONVILLE, FL
ZIP 32225-406
Phone: (904) 727-5120
Fax: (904) 727-5129

The provider's authorized official is Napoleon G De Padua .
The authorized official title is Owner and has the following contact phone number (904) 727-5120.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	ME0040865	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	99601	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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