JACKSONVILLE PEDIATRIC ASSOCIATES
NPI 1801216155
Pediatrics in Jacksonville, FL

Q: What is Pediatric Associates Of NE Florida, LLC's specialty?

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

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: August 16, 2026.

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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Of NE Florida, LLC's NPI number?

The NPI number for Pediatric Associates Of NE Florida, LLC is 1801216155. It was assigned to this organization in the NPPES registry on April 24, 2014. The provider is doing business as Jacksonville Pediatric Associates.

Where is Pediatric Associates Of NE Florida, LLC located?

Pediatric Associates Of NE Florida, LLC is located at 4972 Town Center Pkwy # 301, Jacksonville, FL 32246. The listed phone number is (904) 642-6100.

What is Pediatric Associates Of NE Florida, LLC's specialty?

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

Does Pediatric Associates Of NE Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0958174) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of NE Florida, LLC was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.