GRACE PEDIATRICS PL NPI 1326885294

NPI Information

  • NPI: 1326885294
  • Provider Name: GRACE PEDIATRICS PL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 10D2306790
  • Address: 238 SW CULLEN AVE
    FORT WHITE, FL
    ZIP 32038
  • Phone: (386) 243-8474

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NPI Details

GRACE PEDIATRICS PL is a rural health clinic center in Fort White, FL. GRACE PEDIATRICS PL NPI is 1326885294. The provider is registered as an organization entity type.

The provider's business location address is:

238 SW CULLEN AVE
FORT WHITE, FL
ZIP 32038-536
Phone: (386) 243-8474

The provider's authorized official is Colleen A Thompson .
The authorized official title is Aprn, Owner and has the following contact phone number (386) 243-8474.

The CLIA number assigned to this NPI record is 10D2306790 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2024 and was last updated on 7/9/2024.

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
1261QR1300XClinic/CenterRural HealthYes

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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