Organization · Type 2 NPI

Csi-Pediatric Services, LLC

Health Service Clinic/Center · Jacksonville, FL

NPI number 1760803852 Active

Practice location

1855 Cassat Ave
Jacksonville, FL 32210-1634

Call (904) 380-9099 Map

Fax (904) 384-4885

Mailing address

15050 NW 79th Ct Ste 201
Miami Lakes, FL 33016-5810

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	60080998 (FL)

Health Service Clinic/Center: Definition to come...

2 other providers at this address

Ideal PughDevelopmentally Disabled Services Day Training Agency Jacksonville, FL NPI 1952616112
Tonya Aycock, LMTMassage Therapist Jacksonville, FL NPI 1174996540

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NPI record

NPI: 1760803852
Entity type: Organization (Type 2)
Issued: Dec 17, 2013
Last updated: Jul 13, 2022
Status: Active
Subpart: Yes of Pediatric Holdings, LLC

Other names

<unavail>
Csi Special Care · doing business as
Csi Special Care · doing business as
Spark Pediatrics · other name

Authorized official

Donna Lodato, RN
CEO
(786) 522-9600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760803852

Csi-Pediatric Services, LLC's National Provider Identifier is 1760803852, issued on Dec 17, 2013. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2022.