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KIDS AND FAMILIES MEDICAL CLINIC LLC NPI 1891359998


NPI Information

NPI: 1891359998
Provider Name: KIDS AND FAMILIES MEDICAL CLINIC LLC
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
12086 FORT CAROLINE RD STE 404
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 300-6248
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KIDS AND FAMILIES MEDICAL CLINIC LLC is an adolescent medicine family medicine in Jacksonville, FL. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. KIDS AND FAMILIES MEDICAL CLINIC LLC NPI is 1891359998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12086 FORT CAROLINE RD STE 404
JACKSONVILLE, FL
ZIP 32225-640
Phone: (904) 300-6248

The provider's authorized official is Kia Mitchell .
The authorized official title is Authorized Official and has the following contact phone number (904) 300-6248.

The enumeration date for this NPI number is 4/24/2019 and was last updated on 6/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyNo
2207QA0000XFamily MedicineAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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