OrganizationActive
Jacksonville Pediatrics
NPI 1043346745 · Pediatric Adolescent Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1043346745
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randolph Thornton, Senior Physician(904) 389-4140
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2606 Park St
Jacksonville, FL 32204-4520
Phone: (904) 388-4646
Fax: (904) 388-9071
Street-level locationGet directions
Mailing address
2606 Park St
Jacksonville, FL 32204-4520
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.