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FLIP FLOPS AND LOLLIPOPS PEDIATRICS NPI 1013443423


NPI Information

NPI: 1013443423
Provider Name: FLIP FLOPS AND LOLLIPOPS PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2145362

Address:
22455 FLORA PARKE XING
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 572-1884
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FLIP FLOPS AND LOLLIPOPS PEDIATRICS is a primary care clinic center in Fernandina Beach, FL. FLIP FLOPS AND LOLLIPOPS PEDIATRICS NPI is 1013443423. The provider is registered as an organization entity type.

The provider's business location address is:

22455 FLORA PARKE XING
FERNANDINA BEACH, FL
ZIP 32034-000
Phone: (904) 572-1884
Fax: (904) 491-1118

The provider's authorized official is Lera Liv Fina .
The authorized official title is Pediatrician and has the following contact phone number (904) 572-1884.

The CLIA number assigned to this NPI record is 10D2145362 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 8/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care66488GEORGIANo
2261QP2300XClinic/CenterPrimary CareOS 10686FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.