| First Coast Pediatric Infectious Disease Llc | |
|
1555 Kingsley Ave Ste. 201 Orange Park FL 32073-4560 | |
| (904) 398-5614 | |
| (904) 398-5617 |
| Full Name | First Coast Pediatric Infectious Disease Llc |
|---|---|
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 1555 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Sebastian R Stanciu (OWNER) |
| Authorized Official Contact | 9043985614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Pediatric Infectious Disease Llc 1555 Kingsley Ave Ste. 201 Orange Park FL 32073-4560 Ph: (904) 398-5614 | First Coast Pediatric Infectious Disease Llc 1555 Kingsley Ave Ste. 201 Orange Park FL 32073-4560 Ph: (904) 398-5614 |
| NPI Number | 1699137182 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699137182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME89939 (Florida) | Secondary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | ME89939 (Florida) | Primary |
Coastal Health Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 Wells Rd Ste 300, Orange Park, FL 32073 Phone: 904-282-6331 Fax: 904-619-1080 | |
Teddy Garcia Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 784 Blanding Blvd, Ste 108, Orange Park, FL 32065 Phone: 904-272-7778 Fax: 904-272-7742 | |
Affan Quadri Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3627 Westover Rd, Orange Park, FL 32003 Phone: 904-298-2272 | |
Robert Koe M.d, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave Ste 12, Orange Park, FL 32073 Phone: 904-269-9777 Fax: 904-264-9774 | |
Meadowlands Medical Center,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 179 College Dr, Ste 17, Orange Park, FL 32065 Phone: 904-592-7818 Fax: 904-602-5599 | |
Florida Infectious Disease Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1536 Kingsley Ave Ste 118, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Island Ln, Suite 1, Orange Park, FL 32003 Phone: 904-264-4405 Fax: 904-264-4368 |