DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GHASSAN J GHATA, MD

Active Sole Proprietor

DR. GHASSAN J GHATA, MD is a Pediatrics healthcare provider located in JACKSONVILLE, Florida. NPI 1013983063 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · JACKSONVILLE, FL

Registration Details

NPI Number
1013983063
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2006 (20.504164094854 yrs)
Last Updated
May 13, 2021
Licenses
ME0026102 (FL)
ME0026102 (FL)
Sole Proprietor
Yes

Practice Information

Address
13770 BEACH BLVD
SUIT 6
JACKSONVILLE, FL, 322247205
Browse FL providers · Browse ZIP 32224
Phone
9043300524
Fax
9046479491
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in JACKSONVILLE, FL

Name Credential NPI
DR. JOSEPHINE BATISTA YATCO M.D. 1568467637
MARY ANN GARCIA M.D. 1447258058
RANDELL ALEXANDER MD 1558361469
MR. BRUCE J MCINTOSH M.D. 1205828548
DR. HILLEARY C ROCKWELL III MD 1790770758
KAREN A OSTERGREN M.D. 1437145596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.