JACKSONVILLE KIDS PEDIATRICS LLC
NPI 1083871404
Clinic/Center - Primary Care in Jacksonville, FL

Active since May 22, 2008CLIA 10D1090183 · Waiver
7807 BAYMEADOWS RD E, SUITE 207, JACKSONVILLE, FL 32256(904) 253-3459 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacksonville Kids Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE KIDS PEDIATRICS LLC (NPI 1083871404) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Alexandra Mary Kostur, Owner, as its authorized official.

NPPES Registry Identity

NPI1083871404
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACKSONVILLE KIDS PEDIATRICS LLC
Location Address7807 BAYMEADOWS RD E, SUITE 207Jacksonville, FL 32256-9664
Mailing Address13743 Saxon Lake DrJacksonville, FL 32225-2624 · (904) 253-3459
Organization SubpartNo
Authorized OfficialAlexandra Mary KosturOwner · (904) 253-3459
Enumeration DateMay 22, 2008
NPI 1083871404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
7807 BAYMEADOWS RD E, Jacksonville, FL 32256

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1090183

Jacksonville Kids Pediatrics PLLC · Jacksonville, FL
Active · expires Oct 5, 2026
CLIA Number10D1090183
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorAlexandra M. Kostur MD
Laboratory Phone(904) 253-3459
Laboratory LocationJacksonville Kids Pediatrics PLLC7807 Baymeadows Rd E Ste 207, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
7807 BAYMEADOWS RD E
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
7807 BAYMEADOWS RD E
JACKSONVILLE, FL 32256
Internal Medicine (Cardiovascular Disease)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Internal Medicine (Pulmonary Disease)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Clinic/Center (Multi-Specialty)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Occupational Therapy Assistant
7807 BAYMEADOWS RD E, SUITE 200
JACKSONVILLE, FL 32256
Internal Medicine (Cardiovascular Disease)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Physical Therapy Assistant
7807 BAYMEADOWS RD E, SUITE 200
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Kids Pediatrics LLC's NPI number?

The NPI number for Jacksonville Kids Pediatrics LLC is 1083871404. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Jacksonville Kids Pediatrics LLC located?

Jacksonville Kids Pediatrics LLC is located at 7807 Baymeadows Rd E Suite 207, Jacksonville, FL 32256. The listed phone number is (904) 253-3459.

What is Jacksonville Kids Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Jacksonville Kids Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1090183) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacksonville Kids Pediatrics LLC accept?

Health plans from AvMed list Jacksonville Kids Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Kids Pediatrics LLC was last updated on May 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.