Pediatric Innovation Center, LLC
NPI 1457805756 · Pediatrics Physician · Jacksonville, FL
Pediatric Innovation Center, LLC is a Pediatrics Physician organization in Jacksonville, FL (NPI 1457805756).
Provider details
- NPI number
- 1457805756
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashraf Affan, President(904) 616-2772
- License
- ME86016 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-08-04
- Last updated
- 2016-08-04
Frequently asked questions
- What is Pediatric Innovation Center, LLC's NPI number?
- Pediatric Innovation Center, LLC's National Provider Identifier (NPI) is 1457805756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Innovation Center, LLC?
- Pediatric Innovation Center, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Innovation Center, LLC located?
- Pediatric Innovation Center, LLC's practice location on file with NPPES is 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212.
- What is Pediatric Innovation Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Innovation Center, LLC is (904) 616-2772.
- Who is the authorized official for Pediatric Innovation Center, LLC?
- The authorized official listed on Pediatric Innovation Center, LLC's NPPES record is Ashraf Affan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Innovation Center, LLC's NPI active?
- Yes — Pediatric Innovation Center, LLC's NPI (1457805756) is active in the NPPES registry as of the last update on 2016-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.