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Contact Information

NORTH FLORIDA PEDIATRICS, PA
417 EAST CALL STREET
STARKE, FL32091
 Phone: 904-368-0368
 Fax: 904-317-4949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTH FLORIDA PEDIATRICS PA · (Female)

NPI Number 1205505633
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2021
Last updated 09/09/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 101707401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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