| Dr Pamela G Santelices, MD | |
|
1859 Sw Newland Way, Lake City, FL 32025-6966 | |
| (386) 758-0003 | |
| (386) 755-7940 |
| Full Name | Dr Pamela G Santelices |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1859 Sw Newland Way, Lake City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609836683 | NPI | - | NPPES |
| 58641 | Other | FL | BCBS |
| 259783700 | Medicaid | FL | |
| 275981 | Other | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME80098 (Florida) | Primary |
| Entity Name | North Florida Pediatrics, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558602482 PECOS PAC ID: 8729997929 Enrollment ID: O20040602000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela G Santelices, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (386) 758-0003 | Dr Pamela G Santelices, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (386) 758-0003 |
Amna Zarar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 | |
Ms. Sydney Taylor Borg, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 | |
Mr. Andres R Villar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 W Duval St, Lake City, FL 32055 Phone: 386-755-5044 Fax: 386-755-2518 | |
Dr. Maria D. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-4432 | |
Dr. Frederick Thomas Weber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 | |
Dr. Samuel Santelices, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940 |