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10D0896646 CLIA NUMBER - ANGEL KIDS PEDIATRICS

Laboratory Demographics

CLIA Number: 10D0896646

Facility Name: ANGEL KIDS PEDIATRICS

Facility Address:
2511 ST JOHNS BLUFF RD S - STE 201
JACKSONVILLE, FL
ZIP 32246
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Facility Phone Number: 904 242-4220

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1841866811

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D0896646
LAB Type Physician Office
Facility Name ANGEL KIDS PEDIATRICS
Street 2511 ST JOHNS BLUFF RD S - STE 201
City JACKSONVILLE
State FL
ZIP 32246
Phone 904 242-4220
CertificateType 4
CertificateEffectiveDate 2/25/2023
CertificateExpirationDate 2/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024