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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