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Export Provider Record NPI 1316367667
Pediatric Associates Of Ne Florida, Llc
Organization Subpart: YES
Active
NPI Number1316367667
NPI TypeNPI-2 Organization
SpecialtyPediatrics
Provider Details
NPI1316367667
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2014-04-24
Last Updated2020-08-25
Authorized OfficialPatricia Corsiatto
Director
Phone: 9549676400
Mailing Address900 S Pine Island Rd, 800
Plantation, FL 33324-3920
United States
Phone: (954) 967-6400 | Fax: (954) 965-7339
📍 View Map
Primary Practice Address1951 Boulevard
Jacksonville, FL 32206-3527
United States
Phone: (904) 354-6868 | Fax: (904) 358-3067
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL011962601-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – Pediatrics--
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About NPI 1316367667

Pediatric Associates Of Ne Florida, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1316367667. The primary specialty listed is Pediatrics. The organization is located in Jacksonville, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-04-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1316367667?

NPI 1316367667 belongs to Pediatric Associates Of Ne Florida, Llc, a Pediatrics in Jacksonville, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1316367667 active?

The current status of NPI 1316367667 in the NPPES registry is Active. The record was last updated on 2020-08-25.

What specialty is NPI 1316367667?

NPI 1316367667 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1316367667?

You can verify NPI 1316367667 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1316367667?

The primary practice address on file for NPI 1316367667 is 1951 Boulevard, Jacksonville, FL 32206-3527. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1316367667 issued?

NPI 1316367667 was first issued (enumerated) on 2014-04-24. The NPPES record was last updated on 2020-08-25.

Practice Location Map

Pediatric Associates Of Ne Florida, Llc is located at 1951 Boulevard, Jacksonville, FL. Use the map below to find directions or verify the practice location.

📍 1951 Boulevard, Jacksonville, FL 32206-3527  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Pediatric Associates Of Ne Florida, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162