Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Funcoast Pediatrics PA

Organization Pediatrics Physician · NPI 1518911569

Funcoast Pediatrics PA is a Pediatrics Physician in Ormond Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1688 W Granada Blvd Ste 2B
Ormond Beach, FL 32174
Phone: (386) 677-3530
Fax: (386) 673-1933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1518911569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James White — President · (386) 677-3530
NPI enumeratedMay 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1688 W Granada Blvd, Suite 2b, Ormond Beach, FL 32174

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