NORTH FLORIDA PEDIATRICS PA
NPI 1548758428
Clinic/Center - Rural Health in Starke, FL

Active since April 26, 2018
417 EAST CALL STREET, STARKE, FL 32091(904) 368-0368(904) 317-4949 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Apr 26, 2018 (2 updates tracked since 2018).

About North Florida Pediatrics Pa NPPES

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

NORTH FLORIDA PEDIATRICS PA (NPI 1548758428) is a healthcare organization registered as a rural health in Starke, Florida and active in the NPI registry since April 2018. The organization lists Samuel Santelices, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1548758428
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH FLORIDA PEDIATRICS PA
Location Address417 EAST CALL STREETStarke, FL 32091
Mailing Address1859 S.w. Newland WayLake City, FL 32025 · (386) 758-0003 · Fax (386) 755-4432
Fax(904) 317-4949
Organization SubpartYes
Authorized OfficialSamuel SantelicesPresident/ceo · (386) 758-0003
Enumeration DateApril 26, 2018
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1548758428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
417 EAST CALL STREET, Starke, FL 32091

Other Identifiers 1

Medicaid101707400FL

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pediatrics
417 EAST CALL STREET
STARKE, FL 32091

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 1548758428. It was assigned to this organization in the NPPES registry on April 26, 2018.

Where is North Florida Pediatrics PA located?

North Florida Pediatrics PA is located at 417 East Call Street, Starke, FL 32091. The listed phone number is (904) 368-0368.

What is North Florida Pediatrics PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does North Florida Pediatrics PA accept?

Health plans from AvMed, 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 8, 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.