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NORTH FLORIDA PEDIATRICS, PA
NPI 1396415915
Pediatrics in Live Oak, FL

Active since September 15, 2021
NORTH FLORIDA PEDIATRICS, PA, 1101 OHIO AVENUE SOUTH, LIVE OAK, FL 32064(386) 339-1060(386) 339-1067 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1396415915) is a healthcare organization registered as a pediatrics in Live Oak, Florida and active in the NPI registry since September 2021. The organization lists Samuel Santelices, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1396415915
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTH FLORIDA PEDIATRICS, PA
Location AddressNORTH FLORIDA PEDIATRICS, PA, 1101 OHIO AVENUE SOUTHLive Oak, FL 32064
Mailing Address1859 Sw Newland WayLake City, FL 32025 · (386) 758-0003 · Fax (386) 755-4432
Phone(386) 339-1060
Fax(386) 339-1067
Organization SubpartYesParent: North Florida Pediatrics, Pa.
Authorized OfficialSamuel SantelicesPresident/ Ceo · (386) 758-0003
Enumeration DateSeptember 15, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1396415915 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.
NORTH FLORIDA PEDIATRICS, PA, Live Oak, FL 32064
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Other Identifiers 1

Medicaid015048101FL

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

Other Providers at the Same Location NPPES

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

NORTH FLORIDA PEDIATRICS, PA
Clinic/Center (Rural Health)
NORTH FLORIDA PEDIATRICS, PA, 1101 OHIO AVENUE SOUTH
LIVE OAK, FL 32064
Suwannee County (386) 339-1060

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 1396415915. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is North Florida Pediatrics, PA located?

North Florida Pediatrics, PA is located at North Florida Pediatrics, PA 1101 Ohio Avenue South, Live Oak, FL 32064. The listed phone number is (386) 339-1060.

What is North Florida Pediatrics, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for North Florida Pediatrics, PA was last updated on September 15, 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.