LONGLEAF PEDIATRICS PA NPI 1114310851

NPI Information

  • NPI: 1114310851
  • Provider Name: LONGLEAF PEDIATRICS PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 103 BIRCH AVE
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (386) 532-0800

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NPI Details

LONGLEAF PEDIATRICS PA is a primary care clinic center in Orange City, FL. LONGLEAF PEDIATRICS PA NPI is 1114310851. The provider is registered as an organization entity type.

The provider's business location address is:

103 BIRCH AVE
ORANGE CITY, FL
ZIP 32763-003
Phone: (386) 532-0800
Fax: (386) 532-7005

The provider's authorized official is Valerie Celeste Burns .
The authorized official title is Pediatrician/owner and has the following contact phone number (386) 532-0800.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/5/2015.

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
1261QP2300XClinic/CenterPrimary Care255837800FLORIDAYes

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
1255837800MEDICAIDFLORIDA

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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