PEDIATRICA HEALTH OF FLORIDA, LLC
Complete NPI Record 1316385164
Pediatrics - Adolescent Medicine in Jacksonville, FL
Active since June 13, 2013CLIA 10D0873133 · Waiver
Complete NPI Dataset
This page contains the complete raw NPPES record for Pediatrica Health Of Florida, Llc (NPI 1316385164), a pediatrics organization in Jacksonville, FL. All 39 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1316385164 Field 1/39
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/39
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/39
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: PEDIATRICA HEALTH OF FLORIDA, LLC Field 4/39
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/39
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/39
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 75 VALENCIA AVE STE 709 Field 7/39
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CORAL GABLES Field 8/39
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: FL Field 9/39
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 331346132 Field 10/39
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/39
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9042239100 Field 12/39
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9042239282 Field 13/39
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 4788 HODGES BLVD Field 14/39
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE B-108 Field 15/39
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: JACKSONVILLE Field 16/39
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: FL Field 17/39
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 322247222 Field 18/39
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/39
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9042239100 Field 20/39
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9042239282 Field 21/39
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: REDDY Field 24/39
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: PRASANTHI Field 25/39
- The first name of the authorized official.
- Authorized Official Title or Position: OWNER/ DOCTOR Field 26/39
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9042239100 Field 27/39
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 2080A0000X Field 28/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: ME91195 Field 29/39
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: FL Field 30/39
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 31/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 118989200 Field 32/39
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 33/39
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: FL Field 34/39
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 35/39
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: DR. Field 36/39
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Authorized Official Credential Text: MD Field 37/39
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 38/39
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Rainbow Pediatric Center PA Former Legal Business Name
Name 1/1Former Legal Business Name: A previous registered legal name once used by an organization that has since been changed or retired.
Secondary Practice Locations 14
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
101 Marketside Ave Ste 405
Location 1/14Ponte Vedra, FL 32081-1542 · Phone (904) 223-9100 · Fax (904) 223-9282
3055 County Road 210 W Ste 105
Location 2/14St Johns, FL 32259-7001 · Phone (904) 223-9610 · Fax (904) 223-9282
14797 Philips Hwy
Location 3/14Jacksonville, FL 32256-3746 · Phone (904) 223-9100 · Fax (904) 223-9282
4400 W Sample Rd Ste 122
Location 4/14Coconut Creek, FL 33073-3457 · Phone (954) 978-6030 · Fax (954) 978-2113
515 Health Blvd
Location 5/14Daytona Beach, FL 32114-1493 · Phone (904) 233-9100
4861 27th St W
Location 6/14Bradenton, FL 34207-1726 · Phone (941) 755-0800
380 SW Prima Vista Blvd
Location 7/14Port Saint Lucie, FL 34983-1984 · Phone (772) 785-8989
4125 Race Track Rd Unit 104
Location 8/14St Johns, FL 32259-2389 · Phone (904) 222-6364
2676 US 1 S
Location 9/14St Augustine, FL 32086-6191 · Phone (904) 797-2121
8900 SW 24th St Ste 204
Location 10/14Miami, FL 33165-2075 · Phone (305) 554-6666
1666 Mound St
Location 11/14Sarasota, FL 34236-7716 · Phone (941) 356-3136
2005 SW 75th St
Location 12/14Gainesville, FL 32607-5376 · Phone (352) 871-5142
4800 Linton Blvd Ste E315
Location 13/14Delray Beach, FL 33445-6585 · Phone (561) 381-7990
180 Pinnacles Dr Ste 100
Location 14/14Palm Coast, FL 32164-2597 · Phone (917) 660-4167
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
118989200 Medicaid
Identifier 1/1State: FL
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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