OrganizationActive
North Florida Pediatrics, PA.
NPI 1598435190 · Pediatrics Physician · Jasper, FL
Provider details
- NPI number
- 1598435190
- 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
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
- 2021-09-15
- Last updated
- 2021-09-15
- 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.