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Organization

NORTH FLORIDA PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL SANTELICES (CEO)
(386) 758-0003
Entity
Organization

Contact information

Practice address
3872 SAN JOSE PARK DR, JACKSONVILLE, FL 32217-4613
(904) 773-4380
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 758-0003

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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