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JACKSONVILLE PEDIATRIC ASSOCIATES
NPI 1316367667
Pediatrics in Jacksonville, FL

Active since April 24, 2014CLIA 10D0268586 · Certificate of Compliance
1951 BOULEVARD, JACKSONVILLE, FL 32206(904) 354-6868(904) 358-3067 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, Aug 4, 2018 (2 updates tracked since 2018).

About Jacksonville Pediatric Associates NPPES

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

JACKSONVILLE PEDIATRIC ASSOCIATES (NPI 1316367667) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since April 2014. The organization holds a CLIA Certificate of Compliance certificate valid through January 18, 2027 and lists Patricia Corsiatto, Director, as its authorized official.

NPPES Registry Identity

NPI1316367667
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF NE FLORIDA, LLC
Location Address1951 BOULEVARDJacksonville, FL 32206-3527
Mailing Address900 S Pine Island Rd, 800Plantation, FL 33324-3920 · (954) 967-6400 · Fax (954) 965-7339
Phone(904) 354-6868
Fax(904) 358-3067
Organization SubpartYesParent: Pediatric Associates Holding Company
Authorized OfficialPatricia CorsiattoDirector · (954) 967-6400
Enumeration DateApril 24, 2014
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1316367667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1951 BOULEVARD, Jacksonville, FL 32206
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Other Names 1

Doing Business AsJacksonville Pediatric Associates

Other Identifiers 1

Medicaid011962601FL

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

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 Compliance 10D0268586

Pediatric Associates · Jacksonville, FL
Active · expires Jan 18, 2027
CLIA Number10D0268586
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorWaleska Santiago Velez
Laboratory Phone(954) 965-7754
Laboratory LocationPediatric Associates1714 Main St, Jacksonville, FL 32206
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. ALFREDO ROMEU M.D.
Pediatrics
1951 BOULEVARD
JACKSONVILLE, FL 32206
Duval County (904) 354-6868
LIVE LOVE LIFE, INC
Clinic/Center (Community Health)
1951 BOULEVARD
JACKSONVILLE, FL 32206
Duval County (904) 640-7954

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 Pediatric Associates Of NE Florida, LLC's NPI number?

The NPI number for Pediatric Associates Of NE Florida, LLC is 1316367667. It was assigned to this organization in the NPPES registry on April 24, 2014. The provider is doing business as Jacksonville Pediatric Associates.

Where is Pediatric Associates Of NE Florida, LLC located?

Pediatric Associates Of NE Florida, LLC is located at 1951 Boulevard, Jacksonville, FL 32206. The listed phone number is (904) 354-6868.

What is Pediatric Associates Of NE Florida, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates Of NE Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0268586) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of NE Florida, LLC was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.