NPIMap

Organization Active NPI

First Coast Pediatrics, PA

  • Pediatrics Physician
  • Fernandina, FL
National Provider Identifier
1669133799
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FIRST COAST PEDIATRICS, PA
Practice address
1463 Nectarine Street
Fernandina, FL 32034-3027
Phone
(904) 491-0177
Fax
(904) 491-3173
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Carmita Zurbano Marrero, MDNPI 1891892857
Title
Medical Director
Phone
(904) 491-0177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1463 Nectarine Street
Fernandina, FL 32034-3027

Mailing address

1463 Nectarine Street
Fernandina, FL 32034-3027
Phone (904) 491-0177

National Provider Directory

National Provider Directory
Tax ID family
First Coast Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1669133799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 NECTARINE STREET",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320343027",
            "telephone_number": "904-491-0177",
            "fax_number": "904-491-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 NECTARINE STREET",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320343027",
            "telephone_number": "904-491-0177",
            "fax_number": "904-491-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "CARMITA",
        "authorized_official_middle_name": "ZURBANO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-491-0177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.