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JACKSONVILLE PEDIATRIC ASSOCIATES
NPI 1801216155
Pediatrics in Jacksonville, FL

Active since April 24, 2014CLIA 10D0958174 · Certificate of Compliance
4972 TOWN CENTER PKWY # 301, JACKSONVILLE, FL 32246(904) 642-6100(904) 642-5154 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2020, Aug 2, 2018 (2 updates tracked since 2018).

About Jacksonville Pediatric Associates NPPES

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

JACKSONVILLE PEDIATRIC ASSOCIATES (NPI 1801216155) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since April 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 21, 2026 and lists Patricia Corsiatto, Director, as its authorized official.

NPPES Registry Identity

NPI1801216155
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF NE FLORIDA, LLC
Location Address4972 TOWN CENTER PKWY # 301Jacksonville, FL 32246
Mailing Address900 S Pine Island Rd, 800Plantation, FL 33324-3920 · (904) 642-6100 · Fax (904) 642-5154
Phone(904) 642-6100
Fax(904) 642-5154
Organization SubpartYesParent: Pediatric Associates Holding Company
Authorized OfficialPatricia CorsiattoDirector · (954) 967-6400
Enumeration DateApril 24, 2014
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1801216155 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.

4972 TOWN CENTER PKWY # 301, Jacksonville, FL 32246
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Other Names 1

Doing Business AsJacksonville Pediatric Associates

Other Identifiers 1

Medicaid011962600FL

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

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 Compliance 10D0958174

Pediatric Associates · Jacksonville, FL
Active · expires Aug 21, 2026
CLIA Number10D0958174
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorWaleska Santiago Velez
Laboratory Phone(954) 965-7754
Laboratory LocationPediatric Associates4972 Town Center Ste 301, Jacksonville, FL 32246
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

What is PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1801216155, enumerated as an "organization" on April 24, 2014.

Where is the provider located?

The provider is located at 4972 TOWN CENTER PKWY # 301 JACKSONVILLE, FL 32246 and the phone number is (904) 642-6100.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.