ACUTE CARE PEDIATRICS OF PALM COAST, PA
NPI 1225065717
Clinic/Center - Rural Health in Palm Coast, FL

Active since June 28, 2006CLIA 10D1049486 · Waiver
397 PALM COAST PARKWAY SW, UNIT 303, PALM COAST, FL 32137(386) 447-7337(386) 447-7348 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Acute Care Pediatrics Of Palm Coast, Pa NPPES

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

ACUTE CARE PEDIATRICS OF PALM COAST, PA (NPI 1225065717) is a healthcare organization registered as a rural health in Palm Coast, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Christine Tiu, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225065717
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameACUTE CARE PEDIATRICS OF PALM COAST, PA
Location Address397 PALM COAST PARKWAY SW, UNIT 303Palm Coast, FL 32137
Mailing Address397 Palm Coast Parkway Sw, Unit 303Palm Coast, FL 32137 · (386) 447-7337 · Fax (386) 447-7348
Fax(386) 447-7348
Organization SubpartNo
Authorized OfficialChristine TiuOffice Manager · (386) 447-7337
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1225065717 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
Also ListedPediatricsTaxonomy 208000000X · License ME 0075674 (FL)
397 PALM COAST PARKWAY SW, Palm Coast, FL 32137

Other Identifiers 2

Other009USFL · Blue Cross Blue Shield Of Florida
Medicaid000387200FL

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 10D1049486

Acute Care Pediatrics Of Palm Coast PA · Palm Coast, FL
Active · expires Jan 8, 2028
CLIA Number10D1049486
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorDwight Tiu
Laboratory Phone(386) 447-7337
Laboratory LocationAcute Care Pediatrics Of Palm Coast PA397 Palm Coast Pkwy #303, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapist (Orthopedic)
397 PALM COAST PARKWAY SW, UNIT 4
PALM COAST, FL 32137
Physical Therapist (Orthopedic)
397 PALM COAST PARKWAY SW, UNIT 4
PALM COAST, FL 32137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225065717, enumerated as an "organization" on June 28, 2006.

The provider is located at 397 PALM COAST PARKWAY SW UNIT 303 PALM COAST, FL 32137 and the phone number is (386) 447-7337.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.