Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacksonville Pediatric Endocrinology Clinic PLLC

Organization Pediatric Endocrinology Physician · NPI 1114458916

Jacksonville Pediatric Endocrinology Clinic PLLC provides Pediatric Endocrinology Physician services in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9191 R G Skinner Pkwy
Jacksonville, FL 32256-9655
Phone: (904) 388-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X

Record details

NPI number1114458916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reham Hasan — Owner · (904) 388-3351
NPI enumeratedMarch 23, 2017
Last updated in NPPESMarch 27, 2017
Mailing address13842 Harbor Creek Pl, Jacksonville, FL 32224-6895

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