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

Pediatric Associates of Northeast Florida, LLC

Organization Pediatrics Physician · NPI 1720619422

Pediatric Associates of Northeast Florida, LLC is a Pediatrics Physician in St Johns, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 Bartram Market Dr Ste 120
St Johns, FL 32259-4582
Phone: (904) 650-2193
Fax: (904) 201-6350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1720619422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Corsiatto — Director · (954) 965-7331
Other names Jacksonville Pediatric Associates; Jacksonville Pediatric Associates
NPI enumeratedJanuary 31, 2020
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing address900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923

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