SANFORD PEDIATRIC ASSOCIATES PA
NPI 1124491816
Pediatrics - Adolescent Medicine in Orange City, FL

Q: What is Sanford Pediatric Associates PA's NPI number?

The NPI number for Sanford Pediatric Associates PA is 1124491816. It was assigned to this organization in the NPPES registry on November 4, 2015.

Q: What is Sanford Pediatric Associates PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since November 04, 2015

775 HARLEY STRICKLAND BLVD, SUITE 101, ORANGE CITY, FL 32763(386) 851-0644(386) 851-0664 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sanford Pediatric Associates Pa NPPES

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

SANFORD PEDIATRIC ASSOCIATES PA (NPI 1124491816) is a healthcare organization registered as an adolescent medicine in Orange City, Florida and active in the NPI registry since November 2015. The organization lists John Edward Terwilleger, President, as its authorized official.

NPPES Registry Identity

NPI1124491816

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameSANFORD PEDIATRIC ASSOCIATES PA

Location Address775 HARLEY STRICKLAND BLVD, SUITE 101Orange City, FL 32763-7963

Mailing Address775 Harley Strickland Blvd, Suite 101Orange City, FL 32763-7963 · (386) 851-0644 · Fax (386) 851-0664

Phone(386) 851-0644

Fax(386) 851-0664

Organization SubpartNo

Authorized OfficialJohn Edward TerwillegerPresident · (386) 851-0644

Enumeration DateNovember 4, 2015

✔ NPI 1124491816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in FL · ME0045959

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

775 HARLEY STRICKLAND BLVD, Orange City, FL 32763

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Other Identifiers 2

Medicaid044243700FL

Medicare UPIND21236FL

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLA M. COLON LEBRON RN

Registered Nurse (Community Health)

775 HARLEY STRICKLAND BLVD
ORANGE CITY, FL 32763

Volusia County (386) 457-6327

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 Sanford Pediatric Associates PA's NPI number?

The NPI number for Sanford Pediatric Associates PA is 1124491816. It was assigned to this organization in the NPPES registry on November 4, 2015.

Where is Sanford Pediatric Associates PA located?

Sanford Pediatric Associates PA is located at 775 Harley Strickland Blvd Suite 101, Orange City, FL 32763. The listed phone number is (386) 851-0644.

What is Sanford Pediatric Associates PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Sanford Pediatric Associates PA was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.