NORTH FLORIDA PEDIATRICS, PA – Pediatrics Physician, NPI 1205505633

NORTH FLORIDA PEDIATRICS, PA is a healthcare provider. based in Lake city, Florida. specializing in Pediatrics Physician. The NPI Number for NORTH FLORIDA PEDIATRICS, PA is 1205505633

Main info

Organization
Name
NORTH FLORIDA PEDIATRICS, PA
NPI
1205505633
Phone
(386) 758-0003
Address
1859 SW NEWLAND WAY
Authorized Official
SAMUEL SANTELICES PRESIDENT / CEO
Enumeration Date
9 September 2021
Last Update Date
9 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for NORTH FLORIDA PEDIATRICS, PA

  • 1859 SW NEWLAND WAY

    LAKE CITY, FL 32025

    Phone: (386) 758-0003

    Fax: (386) 755-4432

    Type: Mailing

  • 417 EAST CALL STREET

    STARKE, FL 32091

    Phone: (904) 368-0368

    Fax: (904) 317-4949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32025)

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Reviews

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Frequently asked questions

Is there an official ID for NORTH FLORIDA PEDIATRICS, PA in U.S. healthcare records?
The official identifier for NORTH FLORIDA PEDIATRICS, PA is NPI 1205505633.
Would NORTH FLORIDA PEDIATRICS, PA appear as active to a payer?
You can treat NORTH FLORIDA PEDIATRICS, PA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is NORTH FLORIDA PEDIATRICS, PA?
NORTH FLORIDA PEDIATRICS, PA is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is NORTH FLORIDA PEDIATRICS, PA located near Lake City?
NORTH FLORIDA PEDIATRICS, PA currently maps to Lake City, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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