North Florida Pediatrics Pa · Pediatrics Physician

3872 San Jose Park Dr, Jacksonville, FL 32217-4613

Overview

North Florida Pediatrics Pa is a Pediatrics Physician (organization) practicing in Jacksonville, Florida. The National Provider Identifier (NPI) is #1457292690, which was assigned on April 2, 2026, and the registration record was last updated on April 2, 2026. The practitioner's main practice location is at 3872 San Jose Park Dr, Jacksonville, FL 32217-4613; the contact telephone number is 9047734380. The primary taxonomy of North Florida Pediatrics Pa is Pediatrics Physician (208000000X). The authorized official for North Florida Pediatrics Pa is Samuel Santelices (Ceo).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Information

NPI 1457292690
Entity Type Organization
Organization Name NORTH FLORIDA PEDIATRICS PA
Provider Name NORTH FLORIDA PEDIATRICS PA
Practice Address 3872 San Jose Park Dr
Jacksonville
FL 32217-4613
Practice Telephone 9047734380
Mailing Address 1859 Sw Newland Way
Lake City
FL 32025-6966
Mailing Telephone 3867580003
Mailing Fax Number 3867580003
Certification Date 2026-04-02
Enumeration Date 2026-04-02
Last Update Date 2026-04-02
Is Organization Subpart N

Authorized Official Information

Official Name SAMUEL SANTELICES
Official Title CEO
Telephone 3867580003

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208000000XPediatrics193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

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Location Information

Street Address 3872 SAN JOSE PARK DR
City JACKSONVILLE
State FL
Zip Code 32217-4613
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Valerie Grace Torres De Lara · Valerie Grace De Lara Leach 3872 San Jose Park Dr, Jacksonville, FL 32217-4613Pediatrics Physician2014-03-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Katracia Cason 3870 San Jose Park Dr, Jacksonville, FL 32217-4613Behavior Technician2025-08-27
Chloe Boucher 3990 San Jose Park Dr, Jacksonville, FL 32217-4613Periodontist2022-08-24

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Planned Parenthood of Florida, Inc. 5978 Powers Ave, Jacksonville, FL 32217-2210Non-Pharmacy Dispensing Site2015-03-04
Prolab Solutions LLC 5991 Chester Ave Ste 210, Jacksonville, FL 32217-2245Phlebotomy Technician2024-03-25
Lotus Essence 6034 Chester Ave Ste 108b, Jacksonville, FL 32217-2237Homemaker2025-10-27
Robert Paul Martin 2777 University Blvd W, Jacksonville, FL 32217-2176Sports Medicine (Family Medicine) Physician2006-04-26
Camacho Home Health LLC 6110 Powers Ave Ste B, Jacksonville, FL 32217-1206Home Health Agency2025-10-01
Stephanie Forhan 5978 Powers Ave, Jacksonville, FL 32217-2210Family Nurse Practitioner2026-03-24
Unique Support and Transportation Services LLC 5991 Chester Ave Ste 105, Jacksonville, FL 32217-2265Developmentally Disabled Services Day Training Agency2024-12-16
Fadi Chalhoub 2436 University Blvd W Bldg 6, Jacksonville, FL 32217-2002Physical Medicine & Rehabilitation Physician2005-10-21
Genesis Health Development, Inc. 2700 University Blvd W, Jacksonville, FL 32217-2147Rehabilitation Clinic/Center2008-02-26
Therapyworks of Jacksonville Inc 2535 University Blvd W, Jacksonville, FL 32217-2003Physical Therapist2026-02-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.