NPI 1396952784

Progressive Pediatrics,llc

Organisation Legal Medicine Jacksonville, FL

Practice location

Address: 1539 Parental Home Rd, Jacksonville, FL 32216-3009
Phone: (904) 338-0434
Fax: (904) 425-0821

Authorised official

Name: Valerie Heath Miles
Title: Owner
Phone: (904) 338-0434

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence ME79205 (FL)

Other Legal Medicine providers in Florida →

Registry record

NPI: 1396952784
Entity type: Organization
NPI issued: 17 May 2007
Record last updated: 22 Aug 2020

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.