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Contact Information

NORTH FLORIDA PEDIATRICS, PA
NORTH FLORIDA PEDIATRICS, PA.
1859 SW NEWLAND WAY
LAKE CITY, FL32025
 Phone: 386-758-0003
 Fax: 386-755-4432
 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

NPI # 1124797543
LBN Legal business name NORTH FLORIDA PEDIATRICS, PA
Authorized official SAMUEL SANTELICES - (PRESIDENT / CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/09/2021
Last updated 09/09/2021 - About 5 years ago
Identifiers
FL Medicaid 001532501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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