# NORTH FLORIDA PEDIATRICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH FLORIDA PEDIATRICS PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770952269
- **Legal business name:** NORTH FLORIDA PEDIATRICS PA
- **Authorized official:** DR. SAMUEL SANTELICES MD (PRESIDENT/CEO)
- **Authorized official phone:** (386) 758-0003

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/09/2021