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

Jacksonville Pediatrics World Golf Village PLLC

Organization Primary Care Clinic/Center · NPI 1275329823

Jacksonville Pediatrics World Golf Village PLLC is a Primary Care Clinic/Center in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Land Grant St Ste 3
St Augustine, FL 32092
Phone: (904) 388-4646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1275329823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Cantville — Physician · (904) 388-4646
Other names Jacksonville Pediatrics
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address2606 Park St, Jacksonville, FL 32204-4520

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