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 1558602482

North Florida Pediatrics, PA is a Pediatrics Physician in Live Oak, Florida. Registered with an NPI since 2013.

In the registry since
2013
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 1101 Ohio Ave S
Live Oak, FL 32064
Phone: (386) 339-1060
Fax: (386) 339-1067
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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
Pediatrics Physician Taxonomy 208000000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X

Record details

NPI number1558602482
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Florida Pediatrics, PA
Authorized official Samuel Santelices — President/ Ceo · (386) 758-0003
NPI enumeratedMarch 1, 2013
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address1859 Sw Newland Way, Lake City, FL 32025-6966

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