NORTH FLORIDA PEDIATRICS PA
NPI 1336818632
Pediatrics in Cross City, FL

Active since September 09, 2021CLIA 10D2102471 · Waiver
149 NE. 241ST STREET, STE A, CROSS CITY, FL 32628(352) 498-3337(352) 498-3773 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Florida Pediatrics Pa NPPES

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

NORTH FLORIDA PEDIATRICS PA (NPI 1336818632) is a healthcare organization registered as a pediatrics in Cross City, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Samuel Santelices, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1336818632
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTH FLORIDA PEDIATRICS PA
Location Address149 NE. 241ST STREET, STE ACross City, FL 32628
Mailing AddressNorth Florida Pediatrics, Pa, 1859 Sw Newland WayLake City, FL 32025 · (386) 758-0003 · Fax (386) 755-4432
Fax(352) 498-3773
Organization SubpartYesParent: North Florida Pediatrics, Pa.
Authorized OfficialSamuel SantelicesPresident / Ceo · (386) 758-0003
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
NPI 1336818632 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.
149 NE. 241ST STREET, Cross City, FL 32628

Other Identifiers 1

Medicaid019432301FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2102471

North Florida Pediatrics PA · Cross City, FL
Active · expires Sep 23, 2027
CLIA Number10D2102471
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorPamela G. Santelices
Laboratory Phone(352) 498-3337
Laboratory LocationNorth Florida Pediatrics PA149 NE 241st St Ste A, Cross City, FL 32628
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Florida Pediatrics PA's NPI number?

The NPI number for North Florida Pediatrics PA is 1336818632. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is North Florida Pediatrics PA located?

North Florida Pediatrics PA is located at 149 NE. 241st Street Ste A, Cross City, FL 32628. The listed phone number is (352) 498-3337.

What is North Florida Pediatrics PA's specialty?

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

Does North Florida Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2102471) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Florida Pediatrics PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list North Florida Pediatrics PA 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 North Florida Pediatrics PA was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.