Organization Active NPI

Pediatric Care Centers FL, LLC

  • Pediatrics Physician
  • Fleming Island, FL
National Provider Identifier
1801706205
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Sep 9, 2026

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.