| North Florida Pediatrics, Pa | |
|
149 Ne. 241st Street Ste A Cross City FL 32628 | |
| (352) 498-3337 | |
| (352) 498-3773 |
| Full Name | North Florida Pediatrics, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 149 Ne. 241st Street Ste A, Cross City, Florida |
| Authorized Official Name and Position | Samuel Santelices (PRESIDENT/CEO) |
| Authorized Official Contact | 3867580003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Pediatrics, Pa 1859 Sw Newland Way Lake City FL 32025 Ph: (386) 758-0003 | North Florida Pediatrics, Pa 149 Ne. 241st Street Ste A Cross City FL 32628 Ph: (352) 498-3337 |
| NPI Number | 1770952269 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 8729997929 |
|---|---|
| Medicare Enrollment ID | O20160427001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770952269 | NPI | - | NPPES |
| 019432300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 Sw 351 Hwy, Cross City, FL 32628 Phone: 352-498-3349 Fax: 352-498-0716 | |
Tri County Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Ne 351 Hwy, Cross City, FL 32628 Phone: 352-498-3372 Fax: 352-498-7119 | |
Gnt Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Ne Highway 351, Cross City, FL 32628 Phone: 352-498-3372 |