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Organization

NORTH FLORIDA PEDIATRICS, PA

Active
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Organization

NORTH FLORIDA PEDIATRICS, PA

Active
Parent organization
NORTH FLORIDA PEDIATRICS PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH FLORIDA PEDIATRICS PA
Authorized official
DR. SAMUEL SANTELICES MD (PRESIDENT/CEO)
(386) 758-0003
Entity
Organization

Contact information

Practice address
149 NE. 241ST STREET STE A, CROSS CITY, FL 32628
(352) 498-3337
(352) 498-3773
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025
(386) 758-0003
(386) 755-4432

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
09/15/2015
Last updated
09/09/2021
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