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NORTH FLORIDA PEDIATRICS, PA
NPI 1033114285
Clinic/Center - Rural Health in Jasper, FL

Active since June 15, 2005CLIA Certified · 7 labs
NORTH FLORIDA PEDIATRICS, PA, 1117 NW HWY 41 STE B, JASPER, FL 32052(386) 792-3864(386) 792-1530 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Florida Pediatrics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH FLORIDA PEDIATRICS, PA (NPI 1033114285) is a healthcare organization registered as a rural health in Jasper, Florida and active in the NPI registry since June 2005. The organization holds 7 active CLIA laboratory certificates and lists Samuel Santelices, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1033114285
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH FLORIDA PEDIATRICS, PA
Location AddressNORTH FLORIDA PEDIATRICS, PA, 1117 NW HWY 41 STE BJasper, FL 32052
Mailing Address1859 Sw Newland WayLake City, FL 32025 · (386) 758-0003 · Fax (386) 755-4432
Phone(386) 792-3864
Fax(386) 792-1530
Organization SubpartYesParent: North Florida Pediatrics
Authorized OfficialSamuel SantelicesPresident/ceo · (386) 758-0003
Enumeration DateJune 15, 2005
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1033114285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in FL · ME87551
Also ListedPediatricsTaxonomy 208000000X · License ME87551 (FL)
NORTH FLORIDA PEDIATRICS, PA, Jasper, FL 32052
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Other Identifiers 1

Medicaid001534800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0911918

North Florida Pediatrics · Lake City, FL
Active · expires Oct 28, 2027
CLIA Number10D0911918
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorPamela Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics1859 SW Newland Way, Lake City, FL 32025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1028019

North Florida Pediatrics PA · Jacksonville, FL
Active · expires Jul 18, 2028
CLIA Number10D1028019
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorPamela Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics PA4051 Atlantic Blvd, Jacksonville, FL 32207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2149847

North Florida Pediatrics · Jacksonville, FL
Active · expires Jun 11, 2028
CLIA Number10D2149847
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorPamela Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics9770 Old Baymeadows Road Ste 101, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2343880

North Florida Pediatrics PA · Jacksonville, FL
Active · expires May 12, 2028
CLIA Number10D2343880
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorPamela Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics PA3872 San Jose Park Drive, Jacksonville, FL 32217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D1048790

North Florida Pediatrics PA · Jasper, FL
Active · expires Dec 11, 2027
CLIA Number10D1048790
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorPamela G. Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics PA1117 NW Highway 41 Suite B, Jasper, FL 32052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1088347

North Florida Pediatrics PA · Ponte Vedra, FL
Active · expires Oct 7, 2027
CLIA Number10D1088347
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorPamela Santelices
Laboratory Phone(386) 758-0003
Laboratory LocationNorth Florida Pediatrics PA145 Hilden Road Ste 101, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Florida Pediatrics, PA's NPI number?

The NPI number for North Florida Pediatrics, PA is 1033114285. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is North Florida Pediatrics, PA located?

North Florida Pediatrics, PA is located at North Florida Pediatrics, PA 1117 NW Hwy 41 Ste B, Jasper, FL 32052. The listed phone number is (386) 792-3864.

What is North Florida Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does North Florida Pediatrics, PA hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does North Florida Pediatrics, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list North Florida Pediatrics, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Florida Pediatrics, PA was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.