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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEDIATRICA HEALTH OF FLORIDA, LLC
NPI 1316385164
Pediatrics - Adolescent Medicine in Jacksonville, FL

Active since June 13, 2013CLIA 10D0873133 · Waiver
4788 HODGES BLVD, SUITE B-108, JACKSONVILLE, FL 32224(904) 223-9100(904) 223-9282 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Mar 11, 2025, Sep 12, 2024 and 4 more (7 updates tracked since 2023).

About Pediatrica Health Of Florida, Llc NPPES

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

PEDIATRICA HEALTH OF FLORIDA, LLC (NPI 1316385164) is a healthcare organization registered as an adolescent medicine in Jacksonville, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Paula Bean, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1316385164
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRICA HEALTH OF FLORIDA, LLC
Location Address4788 HODGES BLVD, SUITE B-108Jacksonville, FL 32224-7222
Mailing Address4950 Sw 72nd Ave Ste 106Miami, FL 33155-5500 · (904) 223-9100 · Fax (904) 223-9282
Phone(904) 223-9100
Fax(904) 223-9282
Organization SubpartNo
Authorized OfficialPaula BeanVp Revenue Cycle · (786) 875-1927
Enumeration DateJune 13, 2013
Last NPPES UpdateAugust 3, 20267 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1316385164 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 · ME91195
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.
4788 HODGES BLVD, Jacksonville, FL 32224
Open in Google Maps ↗

Other Identifiers 1

Medicaid118989200FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 10D0873133

Pediatrica Health Of Florida, LLC Dba Pediatrica Of South Bradenton · Bradenton, FL
Active · expires Aug 1, 2027
CLIA Number10D0873133
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorJoseph James Scarano Jr
Laboratory Phone(941) 755-0800
Laboratory LocationPediatrica Health Of Florida, LLC Dba Pediatrica Of South Bradenton4861 27th St W, Bradenton, FL 34207
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. SIERRA MARIE MATTOX OD
Optometrist
4788 HODGES BLVD
JACKSONVILLE, FL 32224
Duval County (904) 992-9991
EVE BOGGESS GEIS O.D.
Optometrist (Corneal and Contact Management)
4788 HODGES BLVD, UNIT 205
JACKSONVILLE, FL 32224
Duval County (904) 382-2037
DR. PRASANTHI REDDY MD
Pediatrics
4788 HODGES BLVD, BUILDING B, SUITE 108
JACKSONVILLE, FL 32224
Duval County (904) 223-9100
A1A FAMILY EYE CARE, INC
Optometrist
4788 HODGES BLVD, UNIT 205
JACKSONVILLE, FL 32224
Duval County (904) 992-9991
DR. JAMES ANTHONY HORNING OD OPTOMETRIST
Optometrist
4788 HODGES BLVD, STE 205
JACKSONVILLE, FL 32224
Duval County (904) 992-9991
ABIGAIL WILCOX MSN, CPNP-PC
Nurse Practitioner (Pediatrics)
4788 HODGES BLVD, SUITE B-108
JACKSONVILLE, FL 32224
Duval County (904) 223-9100

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 Pediatrica Health Of Florida, LLC's NPI number?

The NPI number for Pediatrica Health Of Florida, LLC is 1316385164. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is Pediatrica Health Of Florida, LLC located?

Pediatrica Health Of Florida, LLC is located at 4788 Hodges Blvd Suite B-108, Jacksonville, FL 32224. The listed phone number is (904) 223-9100.

What is Pediatrica Health Of Florida, LLC's specialty?

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

Does Pediatrica Health Of Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0873133) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrica Health Of Florida, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Pediatrica Health Of Florida, LLC 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 Pediatrica Health Of Florida, LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.