JACKSONVILLE PEDIATRICS WORLD GOLF VILLAGE PLLC
NPI 1275329823
Clinic/Center - Primary Care in St Augustine, FL

Q: What is Jacksonville Pediatrics World Golf Village PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 18, 2025

130 LAND GRANT STREET, SUITE 3, ST AUGUSTINE, FL 32092(904) 388-4646 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jacksonville Pediatrics World Golf Village Pllc NPPES

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

JACKSONVILLE PEDIATRICS WORLD GOLF VILLAGE PLLC (NPI 1275329823) is a healthcare organization registered as a primary care in St Augustine, Florida and active in the NPI registry since April 2025. The organization lists Ryan C Cantville, Physician, as its authorized official.

NPPES Registry Identity

NPI1275329823

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameJACKSONVILLE PEDIATRICS WORLD GOLF VILLAGE PLLC

Location Address130 LAND GRANT STREET, SUITE 3St Augustine, FL 32092

Mailing Address2606 Park StJacksonville, FL 32204-4520 · (904) 388-4646 · Fax (904) 388-9017

Phone(904) 388-4646

Organization SubpartNo

Authorized OfficialRyan C CantvillePhysician · (904) 388-4646

Enumeration DateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1275329823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

130 LAND GRANT STREET, St Augustine, FL 32092

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Other Names 1

Other NameJacksonville Pediatrics

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 Jacksonville Pediatrics World Golf Village PLLC's NPI number?

The NPI number for Jacksonville Pediatrics World Golf Village PLLC is 1275329823. It was assigned to this organization in the NPPES registry on April 18, 2025. The provider is also known as Jacksonville Pediatrics.

Where is Jacksonville Pediatrics World Golf Village PLLC located?

Jacksonville Pediatrics World Golf Village PLLC is located at 130 Land Grant Street Suite 3, St Augustine, FL 32092. The listed phone number is (904) 388-4646.

What is Jacksonville Pediatrics World Golf Village PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jacksonville Pediatrics World Golf Village PLLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.