Provider Demographics
NPI:1497389845
Name:ALL ABOUT PEDIATRICS, LLC
Entity Type:Organization
Organization Name:ALL ABOUT PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-240-4555
Mailing Address - Street 1:532 SAMPLES ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-2765
Mailing Address - Country:US
Mailing Address - Phone:904-240-4555
Mailing Address - Fax:904-272-9080
Practice Address - Street 1:7604 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-6754
Practice Address - Country:US
Practice Address - Phone:904-240-4555
Practice Address - Fax:904-272-9080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL ABOUT PEDIATRICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies