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ANGEL KIDS PA
NPI 1386210367
Pediatrics in St Johns, FL

Active since June 01, 2021
774 STATE ROAD 13, ST JOHNS, FL 32259(904) 242-4220 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Kids Pa NPPES

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

ANGEL KIDS PA (NPI 1386210367), doing business as Angel Kids Pediatrics, is a healthcare organization registered as a pediatrics in St Johns, Florida and active in the NPI registry since June 2021. The organization lists Azza Ghandour, Billing/credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1386210367
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANGEL KIDS PA
Location Address774 STATE ROAD 13St Johns, FL 32259-3857
Mailing Address13241 Bartram Park Blvd Unit 209Jacksonville, FL 32258-5233 · (904) 242-4220
Phone(904) 242-4220
Organization SubpartNo
Authorized OfficialAzza GhandourBilling/credentialing Manager · (904) 242-4220
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1386210367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
774 STATE ROAD 13, St Johns, FL 32259
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Other Names 1

Doing Business AsAngel Kids Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 3

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

PEGGY BAILEY LMHC INC
Counselor (Mental Health)
774 STATE ROAD 13, STE 7
SAINT JOHNS, FL 32259
St. Johns County (904) 287-0820
DR. VICTORIA COLE HELOW M.D.
Specialist
774 STATE ROAD 13, SUITE 6
JACKSONVILLE, FL 32259
St. Johns County (904) 230-5437
JULINGTON CREEK PEDIATRICS
Specialist
774 STATE ROAD 13, SUITE 6
SAINT JOHNS, FL 32259
St. Johns County (904) 230-5437

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 Angel Kids PA's NPI number?

The NPI number for Angel Kids PA is 1386210367. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is doing business as Angel Kids Pediatrics.

Where is Angel Kids PA located?

Angel Kids PA is located at 774 State Road 13, St Johns, FL 32259. The listed phone number is (904) 242-4220.

What is Angel Kids PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Angel Kids PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Angel Kids PA 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 Angel Kids PA was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.