NORTH FLORIDA PEDIATRICS, PA – NPI #1033768981
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Pediatrics

NORTH FLORIDA PEDIATRICS, PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1033768981 to NORTH FLORIDA PEDIATRICS, PA on September 04, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 2 years ago on Apr 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH FLORIDA PEDIATRICS, PA below.

NPI Profile for
NORTH FLORIDA PEDIATRICS, PA

NPI Number
1033768981
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH FLORIDA PEDIATRICS, PA
Primary location
4501 ATLANTIC BOULEVARD
JACKSONVILLE, FL 32207
Phone: (904) 393-4700 Fax: (904) 493-9700
Mailing address
1859 SW NEWLAND WAY
LAKE CITY, FL 32025
Phone: (386) 758-0003 Fax: (386) 755-4432
Organization Subpart
No
Authorized Official
SAMUEL SANTELICES
PRESIDENT/CEO
Phone: (386) 758-0003
Updated
Certification Date
Apr 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.