Organization Active NPI

Pediatrica Health of Florida, LLC

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1316385164
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME91195 Issued in FL
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

Updated by the provider on Aug 3, 2026

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)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
118989200MedicaidFL

Other names 1

  • Rainbow Pediatric Center PA Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0873133Pediatrica Health of Florida, LLC4861 27TH St W, Bradenton, FL 34207Certificate of waiverAug 1, 2027
10D2326393Pediatrica Health of Florida LLC915 Big Tree Rd, South Daytona, FL 32119Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

View all 70

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

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.

Verify at the official NPI Registry.