JACKSONVILLE PEDIATRIC ASSOCIATES, M.D., P.A.
Medical Practice at Perimeter Park Blvd, Jacksonville, FL

License number
Florida ME0044830
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. ENRIQUE MANUEL SILVA M.D.
Title: PRESIDENT
Phone: (904) 642-6100
Address
Address
8774 Perimeter Park Blvd, Jacksonville, FL 32216
National Provider ID: 1417955196
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKSONVILLE PEDIATRIC ASSOCIATES, M.D., P.A. at bizstanding.com

JACKSONVILLE PEDIATRIC ASSOCIATES, M.D., PA

Jacksonville, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jan 4, 1988
Inactive since:
Apr 13, 1990
Addresses:
8774 Perimeter Park Blvd, Jacksonville, FL 32216 (Physical)
851 Chicopit Ln, Jacksonville, FL 32225 (Mailing)
State ID:
K10796
Business type:
Florida Profit Corporation
Directors:
Enrique Mmd Silva (President, Director), 851 Chicopit Ln, Jacksonville, FL 32225 (Physical),Alfredo Md Romeu (Director, Vice President), 9026 Hechscher Dr, Jacksonville, FL 32226 (Physical),J Cmd Quintana, 2297 Oceanside Ct, Atlantic Beach, FL 32233 (Physical),...
Agent:
Simmons, Sidney,1050 Riverside Ave, Jacksonville, FL 32204 (Physical)
EIN:
592861820

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