NPIMap

Organization Active NPI

Santa Rosa Pediatrics of Florida P.a.

  • Pediatrics Physician
  • Milton, FL
National Provider Identifier
1922095512
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME90770 Issued in FL
Legal business name
SANTA ROSA PEDIATRICS OF FLORIDA P.A.
Practice address
5962 Berryhill Rd
Milton, FL 32570-4009
Phone
(850) 983-3700
Fax
(850) 983-0970
NPI assigned
Sep 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis A Ghiglino, MDNPI 1538166392
Title
Owner
Phone
(850) 983-3700

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 ME90770 FL Primary

Addresses

Primary practice location

5962 Berryhill Rd
Milton, FL 32570-4009

Mailing address

5962 Berryhill Rd
Milton, FL 32570-4009
Phone (850) 983-3700

Other identifiers 1

IdentifierTypeStateIssuer
IND NPIOtherDR. LUIS A GHIGLINO

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDHHCA

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922095512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704009",
            "telephone_number": "850-983-3700",
            "fax_number": "850-983-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704009",
            "telephone_number": "850-983-3700",
            "fax_number": "850-983-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA PEDIATRICS OF FLORIDA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHIGLINO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-983-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LUIS A GHIGLINO",
            "identifier": "IND NPI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • 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.