ACUTE CARE PEDIATRICSPA NPI 1003866732

NPI Information

NPI: 1003866732
Provider Name: ACUTE CARE PEDIATRICS,PA
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
CLIA Number: 10D0992627
Address: 1301 REID ST
PALATKA, FL
ZIP 32177
Phone: (386) 328-5437

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NPI Details

ACUTE CARE PEDIATRICS,PA is a rural health clinic center in Palatka, FL. ACUTE CARE PEDIATRICS,PA NPI is 1003866732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 REID ST
PALATKA, FL
ZIP 32177-237
Phone: (386) 328-5437
Fax: (386) 447-7348

The provider's authorized official is Dwight L Tiu .
The authorized official title is Physician and has the following contact phone number (386) 328-5437.

The CLIA number assigned to this NPI record is 10D0992627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME075674	FLORIDA	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0040X	OTHER	FLORIDA	BCBS OF FLORIDA
2	660218500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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