Rainbow Pediatric Center
Pediatric Adolescent Medicine
Rainbow Pediatric Center is a Jacksonville, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
4788 Hodges Blvd, Suite B-108, Jacksonville, Florida - 32224-7222. They can be contacted on phone at
904-223-9100 and fax number 904-223-9282.
NPI number (Unique professional ID) for Rainbow Pediatric Center is
1316385164 which was assigned by NPPES on 13 Jun, 2013 and it was last updated on 16 Sep, 2014.
Rainbow Pediatric Center license number is
ME91195 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Rainbow Pediatric Center specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Rainbow Pediatric Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Rainbow Pediatric Center |
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Business Address:
Rainbow Pediatric Center 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 : | 4788 Hodges Blvd, Suite B-108
Jacksonville, FL, 32224-7222
United States |
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| Phone Number : | 904-223-9100 |
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| Fax Number : | 904-223-9282 |
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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 : | 1316385164 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Jun, 2013 |
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| Last Updated On : | 16 Sep, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Prasanthi Reddy |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER/ DOCTOR |
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| Phone Number : | 904-223-9100 |
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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 Rainbow Pediatric Center are as mentioned. Primary taxonomy code for Rainbow Pediatric Center is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME91195 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Rainbow Pediatric Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 008830500 | MEDICAID | FL | |
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 : | 4788 Hodges Blvd, Suite B-108
Jacksonville, FL, 32224-7222
United States |
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| Phone Number : | 904-223-9100 |
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| Fax Number : | 904-223-9282 |
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Business Location:
Patients can refer following map for directions to
Rainbow Pediatric Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.