North Florida Pediatrics, PA

NPI #1205505633 in Starke, Florida

Provider Information

NPI Number: 1205505633
Entity Type: Organization
Organization Name: North Florida Pediatrics, PA
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH FLORIDA PEDIATRICS PA
Primary Specialty: Pediatrics
Enumeration Date: Sep 9, 2021
Last Updated: Sep 9, 2021

Practice Location

Address: 417 EAST CALL STREET
City: Starke
State: Florida
ZIP Code: 32091
Phone: (904) 368-0368

Authorized Official

Name: SAMUEL SANTELICES
Title: PRESIDENT / CEO
Phone: (386) 758-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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