Active NPI
Pediatrica Health of Florida, LLC
- Pediatric Adolescent Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- ME91195
- Legal business name
- PEDIATRICA HEALTH OF FLORIDA, LLC
- Practice address
- 4788 Hodges Blvd
Suite B-108
Jacksonville, FL 32224-7222 - Phone
- (904) 223-9100
- Fax
- (904) 223-9282
- NPI assigned
- Jun 13, 2013
- 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
- Paula Bean
- Title
- VP Revenue Cycle
- Phone
- (786) 875-1927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME91195 | FL | Primary |
Addresses
Primary practice location
4788 Hodges Blvd
Suite B-108
Jacksonville, FL 32224-7222
Mailing address
4950 SW 72ND Ave Ste 106
Miami, FL 33155-5500
Phone (904) 223-9100
Other practice location 1
180 Pinnacles Dr Ste 100
Palm Coast, FL 32164-2597
Phone (917) 660-4167
Other practice location 2
101 Marketside Ave Ste 405
Ponte Vedra, FL 32081-1542
Phone (904) 223-9100
Other practice location 3
3055 County Road 210 W Ste 105
St Johns, FL 32259-7001
Phone (904) 223-9610
Other practice location 4
14797 Philips Hwy
Jacksonville, FL 32256-3746
Phone (904) 223-9100
Other practice location 5
4400 W Sample Rd Ste 122
Coconut Creek, FL 33073-3457
Phone (954) 978-6030
Other practice location 6
515 Health Blvd
Daytona Beach, FL 32114-1493
Phone (904) 233-9100
Other practice location 7
4861 27th St W
Bradenton, FL 34207-1726
Phone (941) 755-0800
Other practice location 8
380 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-1984
Phone (772) 785-8989
Other practice location 9
4125 Race Track Rd Unit 104
St Johns, FL 32259-2389
Phone (904) 222-6364
Other practice location 10
7480 Fairway Dr Ste 202
Miami Lakes, FL 33014-6879
Phone (305) 823-2222
Other practice location 11
1666 Mound St
Sarasota, FL 34236-7716
Phone (941) 356-3136
Other practice location 12
8900 SW 24th St Ste 204
Miami, FL 33165-2075
Phone (305) 554-6666
Other practice location 13
2676 US 1 S
St Augustine, FL 32086-6191
Phone (904) 797-2121
Other practice location 14
6712 Dairy Rd
Zephyrhills, FL 33542-6637
Phone (813) 782-6064
Other practice location 15
6995 Professional Pkwy
Lakewood Ranch, FL 34240-8411
Phone (941) 355-9374
Other practice location 16
915 Big Tree Rd
South Daytona, FL 32119-2517
Phone (386) 487-2950
Other practice location 17
2005 SW 75th St
Gainesville, FL 32607-5376
Phone (352) 871-5142
Other practice location 18
4800 Linton Blvd Ste E315
Delray Beach, FL 33445-6585
Phone (561) 381-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118989200 | Medicaid | FL |
Other names 1
- Rainbow Pediatric Center PA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0873133 | Pediatrica Health of Florida, LLC | Certificate of waiver | Aug 1, 2027 |
| 10D2326393 | Pediatrica Health of Florida LLC | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
655 Fieldstown Rd
Ste 114
Gardendale, AL 35071
Phone (205) 608-8222
1717 Montgomery Hwy
Ste 117
Hoover, AL 35244
Phone (205) 985-0907
6723 Deerfoot Pkwy
Ste 119
Pinson, AL 35126
Phone (205) 683-3232
75 Valencia Ave
Ste 709
Coral Gables, FL 33134
515 Health Blvd
Daytona Beach, FL 32114
Phone (386) 255-7531
4800 Linton Blvd
Ste E315
Delray Beach, FL 33445
Phone (561) 381-7990
2005 SW 75th St
Ste 10
Gainesville, FL 32607
4788 Hodges Blvd
Jacksonville, FL 32224
Phone (904) 992-9991
14797 Philips Hwy
Jacksonville, FL 32256
Phone (904) 223-9100
4788 Hodges Blvd
Ste 108
Jacksonville, FL 32224
Phone (904) 223-9100
6995 Professional Pkwy
Lakewood Ranch, FL 34240
7480 Fairway Dr
Ste 202
Miami Lakes, FL 33014
Phone (305) 823-2222
7051 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 345-9929
180 Pinnacles Dr
Ste 100
Palm Coast, FL 32164
Phone (386) 313-1963
101 Marketside Ave
Ste 105
Ponte Vedra, FL 32081
380 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 785-8989
2676 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 797-2121
3055 County Road 210 W
Saint Johns, FL 32259
3055 County Road 210 W
Ste B108
Saint Johns, FL 32259
1666 Mound St
Sarasota, FL 34236
Phone (941) 356-3136
Practitioners & affiliated clinicians
Practitioners 70
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Port Saint Lucie, FL
- NPI 1770201808
-
- Pediatrics Physician
- Arcadia, FL
- NPI 1083657662
-
- Pediatric Nurse Practitioner
- Port Saint Lucie, FL
- NPI 1932863529
-
- Pediatrics Physician
- Ponte Vedra, FL
- NPI 1760913057
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1174965438
-
- Pediatric Clinical Nurse Specialist
- Jacksonville, FL
- NPI 1336770858
-
- Pediatric Nurse Practitioner
- Tallahassee, FL
- NPI 1265872709
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1164490249
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1427895614
-
- Physician Assistant
- St Petersburg, FL
- NPI 1114505724
-
- Family Nurse Practitioner
- Ponte Vedra, FL
- NPI 1942064696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1316385164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 SW 72ND AVE STE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555500",
"telephone_number": "904-223-9100",
"fax_number": "904-223-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4788 HODGES BLVD",
"address_2": "SUITE B-108",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247222",
"telephone_number": "904-223-9100",
"fax_number": "904-223-9282"
}
],
"practiceLocations": [
{
"address_1": "180 Pinnacles Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321642597",
"country_code": "US",
"telephone_number": "917-660-4167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Marketside Ave Ste 405",
"address_purpose": "LOCATION",
"city": "Ponte Vedra",
"state": "FL",
"postal_code": "320811542",
"country_code": "US",
"telephone_number": "904-223-9100",
"fax_number": "904-223-9282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3055 County Road 210 W Ste 105",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322597001",
"country_code": "US",
"telephone_number": "904-223-9610",
"fax_number": "904-223-9282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14797 Philips Hwy",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322563746",
"country_code": "US",
"telephone_number": "904-223-9100",
"fax_number": "904-223-9282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 W Sample Rd Ste 122",
"address_purpose": "LOCATION",
"city": "Coconut Creek",
"state": "FL",
"postal_code": "330733457",
"country_code": "US",
"telephone_number": "954-978-6030",
"fax_number": "954-978-2113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Health Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321141493",
"country_code": "US",
"telephone_number": "904-233-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4861 27th St W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342071726",
"country_code": "US",
"telephone_number": "941-755-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 SW Prima Vista Blvd",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349831984",
"country_code": "US",
"telephone_number": "772-785-8989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4125 Race Track Rd Unit 104",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322592389",
"country_code": "US",
"telephone_number": "904-222-6364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7480 Fairway Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330146879",
"country_code": "US",
"telephone_number": "305-823-2222",
"fax_number": "305-823-4349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1666 Mound St",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342367716",
"country_code": "US",
"telephone_number": "941-356-3136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8900 SW 24th St Ste 204",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331652075",
"country_code": "US",
"telephone_number": "305-554-6666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2676 US 1 S",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320866191",
"country_code": "US",
"telephone_number": "904-797-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6712 Dairy Rd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335426637",
"country_code": "US",
"telephone_number": "813-782-6064",
"fax_number": "813-782-0984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6995 Professional Pkwy",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "342408411",
"country_code": "US",
"telephone_number": "941-355-9374",
"fax_number": "941-355-9379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Big Tree Rd",
"address_purpose": "LOCATION",
"city": "South Daytona",
"state": "FL",
"postal_code": "321192517",
"country_code": "US",
"telephone_number": "386-487-2950",
"fax_number": "386-487-2951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 SW 75th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326075376",
"country_code": "US",
"telephone_number": "352-871-5142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Linton Blvd Ste E315",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334456585",
"country_code": "US",
"telephone_number": "561-381-7990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEDIATRICA HEALTH OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-13",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "BEAN",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "VP REVENUE CYCLE",
"authorized_official_telephone_number": "786-875-1927"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME91195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118989200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainbow Pediatric Center PA",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Rainbow Pediatric Center PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jacksonville, FL
- Pediatric Services of America, LLC (Aveanna Healthcare)
- Pediatric Services of America, LLC (Aveanna Healthcare)
- Pediatric Services of America, LLC (Aveanna Heatlhcare)
- Pediatric Smiles, Inc
- Pediatric Therapy Associates LLC
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.