National Provider Identifier Database

NORTH FLORIDA PEDIATRICS PA
Pediatrics

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.


Contact Information

NORTH FLORIDA PEDIATRICS, PA.
NORTH FLORIDA PEDIATRICS, PA.
1117 NW HWY 41 STE B
JASPER, FL32052
Phone: 386-792-3864
Fax: 386-792-1530
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for NORTH FLORIDA PEDIATRICS, PA.

NPI Number 1598435190
Legal business name
LBN
NORTH FLORIDA PEDIATRICS, PA.
Authorized official SAMUEL SANTELICES - (PRESIDENT / CEO)
Entity Organization
Organization subpart Yes
Enumeration date 09/15/2021
Last updated 09/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 001534801

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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