OrganizationActive
North Florida Pediatrics, PA
NPI 1033114285 · Rural Health Clinic/Center · Jasper, FL
Provider details
- NPI number
- 1033114285
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- North Florida Pediatrics
- Organization subpart
- Yes
- Authorized official
- Samuel Santelices, President/Ceo(386) 758-0003
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
North Florida Pediatrics, PA
1117 Nw Hwy 41 Ste B
Jasper, FL 32052
Phone: (386) 792-3864
Fax: (386) 792-1530
Approximate (ZIP-level) locationGet directions
Mailing address
1859 Sw Newland Way
Lake City, FL 32025
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.