PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC (NPI# 1669892915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669892915 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC |
| Other Organization Name | JACKSONVILLE PEDIATRIC ASSOCIATES |
| Practice Address |
930 3rd St Neptune Beach FL 32266-5020 |
| Mailing Address |
900 S Pine Island Rd Suite 800 Plantation FL 33324-3920 |
| Practice Telephone | 9042469428 |
| Practice Fax Number | 9042497323 |
| Mailing Telephone | 9549676400 |
| Mailing Fax Number | 9549657339 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | PATRICIA CORSIATTO (DIRECTOR) |
| Authorized Official Telephone | 9549676400 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC ASSOCIATES HOLDING COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 011962602 | 05 |
| Other Name | Type Code |
|---|---|
| Jacksonville Pediatric Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316367667 | Pediatric Associates of Ne Florida, LLC | Pediatrics | 1951 Boulevard, Jacksonville, FL 32206-3527 | 2014-04-24 |
| 1801216155 | Pediatric Associates of Ne Florida, LLC | Pediatrics | 4972 Town Center Pkwy # 301, Jacksonville, FL 32246 | 2014-04-24 |
| Street Address |
930 3RD ST |
| City | NEPTUNE BEACH |
| State | FL |
| Zip Code | 32266-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098057 | Margaret Elizabeth Bernhart | Counselor | 800 3rd Street Ste C, Neptune Beach, FL 32266 | 2018-10-08 |
| 1144707753 | Matthew Hickman | Counselor | 804 3rd St Suite Ab, Neptune Beach, FL 32266 | 2018-07-26 |
| 1487172094 | Seabreeze Medical Pa | Internal Medicine | 320 3rd St Ste B, Neptune Beach, FL 32266 | 2017-09-03 |
| 1740714716 | Christine Coleman | Counselor | 804 3rd St Ste A&b, Neptune Beach, FL 32266 | 2017-04-17 |
| 1609227685 | Susan E. Stewart | Acupuncturist | 320 Third Street, Sutie B, Neptune Beach, FL 32266 | 2016-06-30 |
| 1407203078 | Lofton Creek Dental, Pa | Dentist | 109 Azalea Place, Neptune Beach, FL 32266 | 2016-05-24 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1689074817 | Elizabeth Phillips Broullire | Pharmacist | 630 Atlantic Blvd., Neptune Beach, FL 32266 | 2014-08-25 |
| 1740614775 | Surfside Dental Center, Pa. | Point of Service | 630-7 Atlantic Blvd., Neptune Beach, FL 32266 | 2013-08-27 |
| 1568725984 | Neptune Beach Pharmacy LLC | Pharmacist | 1529 Atlantic Blvd, Neptune Beach, FL 32266 | 2012-06-20 |
| Find all providers in zip 32266 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | NEPTUNE BEACH |
| Zip Code | 32266 |
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC.
| 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.