CERON PEDIATRICS AND INTEGRATIVE MEDICINE
NPI 1477043180
Pediatrics in Jacksonville, FL

Q: What is Ceron Pediatrics And Integrative Medicine's specialty?

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

Active since May 17, 2018CLIA 10D1012931 · Waiver

1539 PARENTAL HOME RD, JACKSONVILLE, FL 32216(904) 338-0434 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2019, May 17, 2018 (2 updates tracked since 2018).

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About Ceron Pediatrics And Integrative Medicine NPPES

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

CERON PEDIATRICS AND INTEGRATIVE MEDICINE (NPI 1477043180) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Lourdes Carolina Ceron Canas, Owner, as its authorized official.

NPPES Registry Identity

NPI1477043180

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCERON PEDIATRICS AND INTEGRATIVE MEDICINE

Location Address1539 PARENTAL HOME RDJacksonville, FL 32216-3009

Mailing Address13758 Club Cove DrJacksonville, FL 32225-5430 · (904) 891-9498 · Fax (904) 425-0821

Phone(904) 338-0434

Organization SubpartNo

Authorized OfficialLourdes Carolina Ceron CanasOwner · (904) 891-9498

Enumeration DateMay 17, 2018

Last NPPES UpdateApril 12, 20192 updates tracked since enumeration

✔ NPI 1477043180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1539 PARENTAL HOME RD, Jacksonville, FL 32216

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Other Identifiers 1

Medicaid019982900FL

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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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 10D1012931

Ceron Pediatrics & Integrative Medicine · Jacksonville, FL

Active · expires Jun 15, 2028

CLIA Number10D1012931

Laboratory TypePhysician Office

Certificate Effective DateJune 16, 2026

Certificate Expiration DateJune 15, 2028

Laboratory DirectorLourdes Carolina C. Ceron-Canas

Laboratory Phone(904) 338-0434

Laboratory LocationCeron Pediatrics & Integrative Medicine4100 Southpoint Dr E Suite #2, Jacksonville, FL 32216

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. VALERIE HEATH MILES MD

Pediatrics