NORTH FLORIDA PEDIATRICS, PA (NPI# 1033768981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768981 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA PEDIATRICS, PA |
| Practice Address |
4501 Atlantic Boulevard Jacksonville FL 32207 |
| Mailing Address |
1859 Sw Newland Way Lake City FL 32025 |
| Practice Telephone | 9043934700 |
| Practice Fax Number | 9044939700 |
| Mailing Telephone | 3867580003 |
| Mailing Fax Number | 3867554432 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | SAMUEL SANTELICES (PRESIDENT/CEO) |
| Authorized Official Telephone | 3867580003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1184116972 | North Florida Pediatrics, Pa | Pediatrics | 9770 Old Bay Meadows Road, Suite 101, Jacksonville, FL 32256-7986 | 2018-06-06 |
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| Street Address |
4501 ATLANTIC BOULEVARD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1225548589 | Rachel Ablavi Noameshie | Nurse Practitioner | 1611 Mayfair Rd, Jacksonville, FL 32207 | 2017-10-01 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1487755567 | Charles Richardson Martin | Pediatrics | 2 Dewitt St, Jacksonville, NC 28540-5649 | 2006-09-25 |
| 1336252444 | Charles B. Mcintosh | Pediatrics | 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 | 2006-08-16 |
| 1922091156 | Anne T Egan | Pediatrics | 2121 Park St, Jacksonville, FL 32204-3811 | 2005-08-23 |
| 1326046350 | Iris Eisenberg | Pediatrics | 11521 N Main St, Jacksonville, FL 32218-4002 | 2005-07-13 |
| 1568856698 | Afton Turner | Pediatrics | 4788 Hodges Blvd Ste B108, Jacksonville, FL 32224-7222 | 2015-03-26 |
| 1316385164 | Rainbow Pediatric Center | Pediatrics | 4788 Hodges Blvd, Suite B-108, Jacksonville, FL 32224-7222 | 2013-06-13 |
| 1043456148 | Rachna A Krish | Pediatrics | 13241 Bartram Park Blvd, Suite # 209, Jacksonville, FL 32258-5212 | 2008-12-20 |
| 1043346745 | Jacksonville Pediatrics | Pediatrics | 2606 Park St, Jacksonville, FL 32204-4520 | 2007-02-26 |
| 1609925387 | Erica Tarbox | Pediatrics | 3945 San Jose Park Dr, Jacksonville, FL 32217-4612 | 2007-01-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on NORTH FLORIDA PEDIATRICS, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.