Dr. Ghassan J Ghata
MD | Pediatrics | Male
Dr. Ghassan J Ghata, MD is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ghassan J Ghata is
13770 Beach Blvd, Suit 6, Jacksonville, Florida - 32224-7205. He can be contacted on phone at
904-330-0524 and fax number 904-647-9491.
Dr. Ghassan J Ghata is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ghassan J Ghata is
1013983063 which was assigned by NPPES on 28 Feb, 2006 and it was last updated on 13 May, 2021.
Dr. Ghassan J Ghata license number is
ME0026102 for Pediatrics (208000000X) in Florida.
Dr. Ghassan J Ghata is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ghassan J Ghata basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ghassan J Ghata |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Ghassan J Ghata address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13770 Beach Blvd, Suit 6
Jacksonville, FL, 32224-7205
United States |
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| Phone Number : | 904-330-0524 |
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| Fax Number : | 904-647-9491 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013983063 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Feb, 2006 |
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| Last Updated On : | 13 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ghassan J Ghata are as mentioned. Primary taxonomy code for Dr. Ghassan J Ghata, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207QA0401X | Family Medicine Addiction Medicine | No | ME0026102 | FL |
| 208000000X | Pediatrics | Yes | ME0026102 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ghassan J Ghata such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 099154500 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
6639 SOUTHPOINT PKWY STE 108,
JACKSONVILLE, FL, 32216-8042
United States | JACKSONVILLE, FL | #9044387640216 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 13770 Beach Blvd, Suit 6
Jacksonville, FL, 32224-7205
United States |
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| Phone Number : | 904-330-0524 |
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| Fax Number : | 904-647-9491 |
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Business Location:
Patients can refer following map for directions to
Dr. Ghassan J Ghata practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.