Active NPI
Pediatric Care Centers FL, LLC
- Pediatrics Physician
- Fleming Island, FL
National Provider Identifier
1801706205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC CARE CENTERS FL, LLC
- Practice address
- 1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816 - Phone
- (904) 264-1958
- NPI assigned
- Sep 9, 2026
- 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
- Ms. Jameyra Roman
- Title
- Owner
- Phone
- (904) 477-4052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Mailing address
1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Phone (904) 264-1958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1801706205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 EAGLE HARBOR PKWY STE B",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034816",
"telephone_number": "904-264-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1679 EAGLE HARBOR PKWY STE B",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034816",
"telephone_number": "904-264-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC CARE CENTERS FL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "JAMEYRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-477-4052",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.