North Florida Pediatrics, PA

NPI #1396415915 in Live Oak, Florida

Provider Information

NPI Number: 1396415915
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 15, 2021
Last Updated: Sep 15, 2021

Practice Location

Address: NORTH FLORIDA PEDIATRICS, PA
Address 2: 1101 OHIO AVENUE SOUTH
City: Live Oak
State: Florida
ZIP Code: 32064
Phone: (386) 339-1060

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Provider Name	Specialty	City
Gloria Wu, PA-C	Pediatrics	Live Oak	AI Deep Dive
Raul Alvarez JR., M.D.	Pediatrics	Winter Haven	AI Deep Dive
Donald Eason, M.D.	Pediatrics	Winter Haven	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Andres R Villar MD	Pediatrics	Live Oak	AI Deep Dive

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