NORTH FLORIDA PEDIATRICS, PA – NPI #1609424217
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.

NORTH FLORIDA PEDIATRICS, PA is a provider located in PONTE VEDRA BEACH, FL. NPPES has assigned the NPI number 1609424217 to NORTH FLORIDA PEDIATRICS, PA on August 27, 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 7 years ago on Sep 03, 2019. 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
1609424217
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
145 HILDEN ROAD SUITE 101
PONTE VEDRA BEACH, FL 32081
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
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.