Active NPI
Flip Flops and Lollipops Pediatrics
- Primary Care Clinic/Center
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS 10686
- Legal business name
- FLIP FLOPS AND LOLLIPOPS PEDIATRICS
- Practice address
- 22455 Flora Parke Xing
Fernandina Beach, FL 32034-8000 - Phone
- (904) 572-1884
- Fax
- (904) 491-1118
- NPI assigned
- May 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lera Liv Fina, DO
- Title
- Pediatrician
- Phone
- (904) 572-1884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS 10686 | FL | Primary |
| Primary Care Clinic/Center | 261QP2300X | 66488 | GA |
Addresses
Primary practice location
22455 Flora Parke Xing
Fernandina Beach, FL 32034-8000
Mailing address
22455 Flora Parke Xing
Fernandina Beach, FL 32034-8000
Phone (904) 572-1884
Other practice location 1
96279 Brady Point Rd Ste C
Fernandina Beach, FL 32034-7076
Phone (904) 572-1884
National Provider Directory
National Provider DirectoryLocations
96279 Brady Point Rd
Ste C
Fernandina Beach, FL 32034
Phone (904) 572-1884
Interoperability endpoints
- https://api.platform.athenahealth.com/17308/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fernandina Beach, FL
- NPI 1902079635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1013443423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22455 FLORA PARKE XING",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320348000",
"telephone_number": "904-572-1884",
"fax_number": "904-491-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22455 FLORA PARKE XING",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320348000",
"telephone_number": "904-572-1884",
"fax_number": "904-491-1118"
}
],
"practiceLocations": [
{
"address_1": "96279 Brady Point Rd Ste C",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320347076",
"country_code": "US",
"telephone_number": "904-572-1884",
"fax_number": "904-491-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLIP FLOPS AND LOLLIPOPS PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-04",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "FINA",
"authorized_official_first_name": "LERA",
"authorized_official_middle_name": "LIV",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "904-572-1884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS 10686",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "66488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.