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 1376548602

North Florida Pediatrics, PA provides Pediatrics Physician services in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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 1859 SW Newland Way
Lake City, FL 32025
Phone: (386) 758-0003
Fax: (386) 755-4432
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Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence ME87551 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME87551 (FL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence ME87551 (FL)

Record details

NPI number1376548602
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Florida Pediatrics, PA
Authorized official Samuel Santelices — President/ Ceo · (386) 758-0003
NPI enumeratedJune 14, 2005
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address1859 Sw Newland Way, Lake City, FL 32025-6966

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