First Coast Pediatrics,PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME 0075674 Issued in FL

Legal business name

FIRST COAST PEDIATRICS,PA

Practice address

397 Palm Coast Pkwy SW
Unit302
Palm Coast, FL 32137-4776

Phone

(386) 328-5437

Fax

(386) 328-5464

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Tiu, MD

Title

Owner

Phone

(386) 328-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770516924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PKWY SW",
            "address_2": "UNIT302",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374776",
            "telephone_number": "386-328-5437",
            "fax_number": "386-328-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PKWY SW",
            "address_2": "UNIT302",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374776",
            "telephone_number": "386-328-5437",
            "fax_number": "386-328-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST PEDIATRICS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 0075674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Elizabeth Findlater, O.D.
• Jessica Finlayson, DPT
• Carla M. Finnicum
• First Coast Autism LLC
• First Coast Hearing Clinic, Inc.
• First Coast Pulmonary Associates
• Ana Maria R Fishbein
• Chelsea Moriah Fizer
• Flagler Care Homes LLC
• Flagler Cares Inc

• Primary Care Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.