| Jacksonville Kids Pediatrics Llc | |
|
7807 Baymeadows Rd E Suite 207 Jacksonville FL 32256-9664 | |
| (904) 253-3459 | |
| Not Available |
| Full Name | Jacksonville Kids Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7807 Baymeadows Rd E, Jacksonville, Florida |
| Authorized Official Name and Position | Alexandra Mary Kostur (OWNER) |
| Authorized Official Contact | 9042533459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Kids Pediatrics Llc 13743 Saxon Lake Dr Jacksonville FL 32225-2624 Ph: (904) 253-3459 | Jacksonville Kids Pediatrics Llc 7807 Baymeadows Rd E Suite 207 Jacksonville FL 32256-9664 Ph: (904) 253-3459 |
| NPI Number | 1083871404 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083871404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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