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Organization

Pediatrica Health of Florida, LLC

NPI Record: ActivePediatrics — Adolescent Medicine
NPI1316385164
Jacksonville, Florida

Provider's NPPES record last updated: August 3, 2026

Overview

Entity Type
Organization
NPI
1316385164
Primary Specialty
Pediatrics — Adolescent Medicine
Practice Location
Jacksonville, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:40 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Adolescent Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

    Taxonomy code 2080A0000X

Provider-Reported License Information

Pediatrics (Florida)
ME91195
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4788 Hodges Blvd

Suite B-108

Jacksonville, Florida 32224-7222

Phone: (904) 223-9100

Additional Practice Location

4125 Race Track Rd Unit 104

St Johns, Florida 32259-2389

Phone: (904) 222-6364

Additional Practice Location

380 Sw Prima Vista Blvd

Port Saint Lucie, Florida 34983-1984

Phone: (772) 785-8989

Additional Practice Location

4861 27th St W

Bradenton, Florida 34207-1726

Phone: (941) 755-0800

Additional Practice Location

515 Health Blvd

Daytona Beach, Florida 32114-1493

Phone: (904) 233-9100

Additional Practice Location

4400 W Sample Rd Ste 122

Coconut Creek, Florida 33073-3457

Phone: (954) 978-6030

Fax: (954) 978-2113

Additional Practice Location

14797 Philips Hwy

Jacksonville, Florida 32256-3746

Phone: (904) 223-9100

Fax: (904) 223-9282

Additional Practice Location

3055 County Road 210 W Ste 105

St Johns, Florida 32259-7001

Phone: (904) 223-9610

Fax: (904) 223-9282

Additional Practice Location

101 Marketside Ave Ste 405

Ponte Vedra, Florida 32081-1542

Phone: (904) 223-9100

Fax: (904) 223-9282

Additional Practice Location

180 Pinnacles Dr Ste 100

Palm Coast, Florida 32164-2597

Phone: (917) 660-4167

Additional Practice Location

4800 Linton Blvd Ste E315

Delray Beach, Florida 33445-6585

Phone: (561) 381-7990

Additional Practice Location

2005 Sw 75th St

Gainesville, Florida 32607-5376

Phone: (352) 871-5142

Additional Practice Location

1666 Mound St

Sarasota, Florida 34236-7716

Phone: (941) 356-3136

Additional Practice Location

8900 Sw 24th St Ste 204

Miami, Florida 33165-2075

Phone: (305) 554-6666

Additional Practice Location

2676 US 1 S

St Augustine, Florida 32086-6191

Phone: (904) 797-2121

Additional Practice Location

7480 Fairway Dr Ste 202

Miami Lakes, Florida 33014-6879

Phone: (305) 823-2222

Fax: (305) 823-4349

Additional Practice Location

915 Big Tree Rd

South Daytona, Florida 32119-2517

Phone: (386) 487-2950

Fax: (386) 487-2951

Additional Practice Location

6995 Professional Pkwy

Lakewood Ranch, Florida 34240-8411

Phone: (941) 355-9374

Fax: (941) 355-9379

Additional Practice Location

6712 Dairy Rd

Zephyrhills, Florida 33542-6637

Phone: (813) 782-6064

Fax: (813) 782-0984

Other Names

  • Rainbow Pediatric Center PAReported September 4, 2024
  • Rainbow Pediatric Center PAReported September 12, 2024

Record Information

Enumeration Date
June 13, 2013
Provider's NPPES Record Last Updated
August 3, 2026
Certification Date
August 3, 2026
NPISignal NPPES Dataset
August 2026

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