NORTH FLORIDA PEDIATRICS, PA (NPI# 1609424217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609424217 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA PEDIATRICS, PA |
| Practice Address |
145 Hilden Road Suite 101 Ponte Vedra FL 32081 |
| 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 | 2019-08-27 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 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 |
145 HILDEN ROAD SUITE 101 |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
| 1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
| 1194191692 | Ponte Vedra Pediatric Dentistry and Orthodontics | Dentist | 480 Town Plaza Avenue, Suite 110, Ponte Vedra, FL 32081 | 2015-08-19 |
| Find all providers in zip 32081 | ||||
| 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 |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1922479625 | Bee Well Kidz Inc | Pediatrics | 13802 Landstar Blvd Ste 109, Orlando, FL 32824-5500 | 2015-10-08 |
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1679965487 | Howard I Finer Md Faap | Pediatrics | 2135 W State Road 434, Longwood, FL 32779-4983 | 2015-03-03 |
| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| 1710263827 | Pablo Schapiro | Pediatrics | 13671 Granada Mist Way, Delray Beach, FL 33446-5614 | 2011-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA |
| Zip Code | 32081 |
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| 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.