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 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1558602482 |
|---|---|
| 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 | Mar 1st, 2013 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558602482 | NPPES |
| Florida | MEDICAID | 015048100 |
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