ANGEL KIDS PEDIATRICS
NPI 1619268612
Clinical Nurse Specialist - Pediatrics in Jacksonville, FL

Q: What is Angel Kids Pediatrics's NPI number?

The NPI number for Angel Kids Pediatrics is 1619268612. It was assigned to this organization in the NPPES registry on April 25, 2011.

Q: What is Angel Kids Pediatrics's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

Active since April 25, 2011

13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 32258(904) 674-2304(904) 551-1502 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angel Kids Pediatrics NPPES

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

ANGEL KIDS PEDIATRICS (NPI 1619268612) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since April 2011. The organization lists Camille C Gorden, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619268612

Entity TypeOrganization

Primary Taxonomy364SP0200X

Legal Business NameANGEL KIDS PEDIATRICS

Location Address13241 BARTRAM PARK BLVD, SUITE 209Jacksonville, FL 32258-5212

Mailing Address13241 Bartram Park Blvd, Suite 209Jacksonville, FL 32258-5212 · (904) 674-2304 · Fax (904) 551-1502

Phone(904) 674-2304

Fax(904) 551-1502

Organization SubpartNo

Authorized OfficialCamille C GordenNurse Practitioner · (904) 674-2304

Enumeration DateApril 25, 2011

✔ NPI 1619268612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0200X

License✔ Licensed in FL · ARNP9279833

13241 BARTRAM PARK BLVD, Jacksonville, FL 32258

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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

Other Providers at the Same Location NPPES 20

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

RAILING CHIROPRACTIC & ACUPUNCTURE

Chiropractor

13241 BARTRAM PARK BLVD, 509
JACKSONVILLE, FL 32258

Duval County (386) 882-2056

MRS. KATHERINE M BYRA MD

Pediatrics

13241 BARTRAM PARK BLVD, SUITE # 209
JACKSONVILLE, FL 32258

Duval County (904) 242-4220

BETH A. MEDINA, MS, LMHC, PA

Counselor (Mental Health)

13241 BARTRAM PARK BLVD, STE. 301
JACKSONVILLE, FL 32258

Duval County (904) 268-1696

MRS. JENNA LEA MARSHALL PA

Physician Assistant

13241 BARTRAM PARK BLVD
JACKSONVILLE, FL 32258

Duval County (904) 402-8346

ANGEL KIDS PA

Clinic/Center (Primary Care)

13241 BARTRAM PARK BLVD, SUITE 209
JACKSONVILLE, FL 32258

Duval County (904) 242-4220

BARTRAM PARK DENTAL,PA

Dentist (General Practice)

13241 BARTRAM PARK BLVD, SUITE # 401
JACKSONVILLE, FL 32258

Duval County (904) 553-8791

QUALITY EYE CARE INC

Ophthalmology

13241 BARTRAM PARK BLVD, SUITE 1505
JACKSONVILLE, FL 32258

Duval County (904) 374-6890

VERLON C. BRICKEY, PHD.,P.A.

Counselor (Mental Health)

13241 BARTRAM PARK BLVD, SUITE 301
JACKSONVILLE, FL 32258

Duval County (904) 363-6999

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 Pediatrics's NPI number?

The NPI number for Angel Kids Pediatrics is 1619268612. It was assigned to this organization in the NPPES registry on April 25, 2011.

Where is Angel Kids Pediatrics located?

Angel Kids Pediatrics is located at 13241 Bartram Park Blvd Suite 209, Jacksonville, FL 32258. The listed phone number is (904) 674-2304.

What is Angel Kids Pediatrics's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

When was this NPI record last updated?

The NPPES record for Angel Kids Pediatrics was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.