Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487613535 Individual Practitioner Female Practitioner

Dr. Leslie Chua Ravago , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Ravago, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 6015 118TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6015 118th St

Jacksonville, FL 322443703

Telephone 9046330610
Fax 9046330611
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME73649

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2522209-00 (FL)
Medicaid State Provider ID
000760647B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Michelle Park

Pediatrics

NPI 1073254207
Dr. Reetu Grewal , MD

Family Medicine

NPI 1093823569

Doctor of Medicine (M.D.)

Dr. Sofia Muenyi , MD

Family Medicine

NPI 1285015511

Doctor of Medicine (M.D.)

Tanza Walker , ARNP

Nurse Practitioner - Family

NPI 1396204871

Advanced Registered Nurse Practitioner

Dr. Pradeep Khanna , MD

General Practice

NPI 1659705762

Doctor of Medicine (M.D.)

Kelley Schneider , FNP

Nurse Practitioner - Family

NPI 1700057379

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 28, 2024

Registered at 6015 118TH ST, JACKSONVILLE, FL 322443703 (Tel: 9046330610)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as LESLIE RAVAGO, M.D.

NPI Profile Active April 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2009

Registered at 5460 BLANDING BLVD, ANCHOR PLAZA FAMILY PRACTICE, JACKSONVILLE, FL 322441957 (Tel: 9046330610)

📍
Updated Business Mailing Address April 22, 2009

Registered at PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008

👤
Provider Name / Credentials Updated April 22, 2009

Recorded as LESLIE CHUA-RAVAGO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2009

Pediatrics (License #ME73649 in FL)

🟢
Initial NPI Registration & Enumeration March 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487613535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2006
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

Po Box 44008, Ufjp Provider Enrollment

Jacksonville, FL 322314008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.