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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

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTH FLORIDA PEDIATRICS, PA

NPI Number 1558602482
LBN Legal business name NORTH FLORIDA PEDIATRICS, PA
Authorized official SAMUEL SANTELICES - (PRESIDENT/ CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/01/2013
Last updated 09/08/2021 - About 5 years ago
Identifiers
FL Medicaid 015048100
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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