Organization
NORTH FLORIDA PEDIATRICS, PA
Active
Parent organization
NORTH FLORIDA PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH FLORIDA PEDIATRICS
Authorized official
SAMUEL SANTELICES MD (PRESIDENT/CEO)
(386) 758-0003
Entity
Organization
Contact information
Practice address
NORTH FLORIDA PEDIATRICS, PA, 1117 NW HWY 41 STE B, JASPER, FL 32052
(386) 792-3864
(386) 792-1530
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025
(386) 758-0003
(386) 755-4432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME87551
FL
208000000X
Pediatrics Physician
—
FL
261QR1300X
Rural Health Clinic/Center
Primary
ME87551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001534800
—
FL
Enumeration date
06/15/2005
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us