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

North Florida Pediatrics, PA

Organization Pediatrics Physician · NPI 1376548602

North Florida Pediatrics, PA is a Pediatrics Physician in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

N Florida Pediatrics Pa 1859 SW Newland Way
Lake City, FL 32025
Phone: (386) 758-0003
Fax: (386) 755-4432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence ME87551 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME87551 (FL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence ME87551 (FL)

Record details

NPI number1376548602
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Florida Pediatrics, PA
Authorized official Samuel Santelices — President/ Ceo · (386) 758-0003
NPI enumeratedJune 14, 2005
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address1859 Sw Newland Way, Lake City, FL 32025-6966

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