OrganizationActive
North Florida Pediatrics, PA
NPI 1124797543 · Pediatrics Physician · Lake City, FL
Provider details
- NPI number
- 1124797543
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- North Florida Pediatrics, PA.
- Organization subpart
- Yes
- Authorized official
- Samuel Santelices, President / Ceo(386) 758-0003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
North Florida Pediatrics, PA.
1859 Sw Newland Way
Lake City, FL 32025
Phone: (386) 758-0003
Fax: (386) 755-4432
Approximate (ZIP-level) locationGet directions
Mailing address
1859 Sw Newland Way
Lake City, FL 32025
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.