North Florida Pediatrics, Pa

LBN: North Florida Pediatrics, Pa
North Florida Pediatrics, Pa is an health care organization with primary practice located at North Florida Pediatrics, Pa 1101 Ohio Avenue South, Live Oak FL 32064. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. North Florida Pediatrics, Pa can be contacted via phone (386) 339-1060, or through Santelices, Samuel via phone (386) 758-0003.

Contact Information

Primary practice address
North Florida Pediatrics, Pa 1101 Ohio Avenue South Live Oak FL 32064
Phone: (386) 339-1060
Fax: (386) 339-1067
Website:
Map and Directions
Authorized official contact:
Name: Santelices, Samuel Doctor of Medicine (MD)
Phone: (386) 758-0003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1396415915
LBN Legal business name North Florida Pediatrics, Pa
DBA Doing business as
Authorized official Santelices, Samuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396415915 NPPES
Florida MEDICAID 015048101

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