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

Sanford Pediatric Associates PA

Organization Pediatric Adolescent Medicine Physician · NPI 1124491816

Sanford Pediatric Associates PA is a Pediatric Adolescent Medicine Physician in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

775 Harley Strickland Blvd Ste 101
Orange City, FL 32763-7963
Phone: (386) 851-0644
Fax: (386) 851-0664
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence ME0045959 (FL)

Record details

NPI number1124491816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Terwilleger — President · (386) 851-0644
NPI enumeratedNovember 4, 2015
Last updated in NPPESNovember 4, 2015
Mailing address775 Harley Strickland Blvd, Suite 101, Orange City, FL 32763-7963