Active NPI
Baldwin Pediatrix
- Pediatrics Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BALDWIN PEDIATRIX
- Practice address
- 6789 Southpoint Pkwy Ste 202
Jacksonville, FL 32216-8206 - Phone
- (904) 853-1763
- Fax
- (850) 248-2469
- NPI assigned
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rubina Azam, MD
- Title
- Owner
- Phone
- (904) 853-1763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
6789 Southpoint Pkwy Ste 202
Jacksonville, FL 32216-8206
Mailing address
PO Box 551269
Jacksonville, FL 32255-1269
Phone (904) 853-1763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127652200 | Medicaid | FL |
Other names 1
- Mango Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2328505 | Baldwin Pediatrix PA Dba Mango Pediatrics | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
6789 Southpoint Pkwy
Ste 202
Jacksonville, FL 32216
Phone (850) 628-9240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Jacksonville, FL
- NPI 1689639114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1487971842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551269",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322551269",
"telephone_number": "904-853-1763",
"fax_number": "850-248-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6789 SOUTHPOINT PKWY STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168206",
"telephone_number": "904-853-1763",
"fax_number": "850-248-2469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALDWIN PEDIATRIX",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "AZAM",
"authorized_official_first_name": "RUBINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-853-1763",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127652200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mango Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.