FUNCOAST PEDIATRICS PA
NPI 1518911569
Pediatrics in Ormond Beach, FL

Active since May 22, 2006
1688 W GRANADA BLVD, SUITE 2B, ORMOND BEACH, FL 32174(386) 677-3530(386) 673-1933 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Funcoast Pediatrics Pa NPPES

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

FUNCOAST PEDIATRICS PA (NPI 1518911569) is a healthcare organization registered as a pediatrics in Ormond Beach, Florida and active in the NPI registry since May 2006. The organization lists James Grady White, President, as its authorized official.

NPPES Registry Identity

NPI1518911569
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFUNCOAST PEDIATRICS PA
Location Address1688 W GRANADA BLVD, SUITE 2BOrmond Beach, FL 32174
Mailing Address1688 W Granada Blvd, Suite 2bOrmond Beach, FL 32174 · (386) 677-3530 · Fax (386) 673-1933
Fax(386) 673-1933
Organization SubpartNo
Authorized OfficialJames Grady WhitePresident · (386) 677-3530
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1518911569 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.
1688 W GRANADA BLVD, Ormond Beach, FL 32174

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

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Urgent Care)
1688 W GRANADA BLVD, SUITE 1A
ORMOND BEACH, FL 32174
Family Medicine
1688 W GRANADA BLVD, STE 2A
ORMOND BEACH, FL 32174
Pediatrics
1688 W GRANADA BLVD, SUITE 2B
ORMOND BEACH, FL 32174
Nurse Practitioner (Family)
1688 W GRANADA BLVD, STE 2A
ORMOND BEACH, FL 32174
Pediatrics
1688 W GRANADA BLVD, #2B
ORMOND BEACH, FL 32174

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 Funcoast Pediatrics PA's NPI number?

The NPI number for Funcoast Pediatrics PA is 1518911569. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Funcoast Pediatrics PA located?

Funcoast Pediatrics PA is located at 1688 W Granada Blvd Suite 2B, Ormond Beach, FL 32174. The listed phone number is (386) 677-3530.

What is Funcoast 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 Funcoast Pediatrics PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.