NPI 1003123696
Ped-E-Care
Practice location
- Address
- 540 State Road 13 Suite 104, Fruit Cove, FL 32259-3872
- Phone
- (904) 814-8209
Authorised official
- Name
- Jane T Park
- Title
- Director of Nursing
- Phone
- (904) 608-4688
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1003123696
- Entity type
- Organization
- NPI issued
- 3 Sep 2010
- Record last updated
- 3 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.