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Contact Information

NORTH FLORIDA PEDIATRICS, PA
NORTH FLORIDA PEDIATRICS, PA
1101 OHIO AVENUE SOUTH
LIVE OAK, FL32064
 Phone: 386-339-1060
 Fax: 386-339-1067
 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 # 1396415915
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2021
Last updated 09/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 015048101
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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