Organization Active NPI

Flip Flops and Lollipops Pediatrics

  • Primary Care Clinic/Center
  • Fernandina Beach, FL
National Provider Identifier
1013443423
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS 10686 Issued in FL
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

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lera Liv Fina, DONPI 1902079635
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)CodeLicenseStatePrimary
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 Directory

Locations

96279 Brady Point Rd
Ste C
Fernandina Beach, FL 32034
Phone (904) 572-1884

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.