ANGEL KIDS PA
NPI 1841866811
Pediatrics in Ponte Vedra Beach, FL

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

The NPI number for Angel Kids PA is 1841866811. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is doing business as Angel Kids Pediatrics.

Q: What is Angel Kids PA's specialty?

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

Q: 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.

Active since June 01, 2021

820 A1A N STE E9, PONTE VEDRA BEACH, FL 32082(904) 242-4220 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angel Kids Pa NPPES

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

ANGEL KIDS PA (NPI 1841866811), doing business as Angel Kids Pediatrics, is a healthcare organization registered as a pediatrics in Ponte Vedra Beach, 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

NPI1841866811

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameANGEL KIDS PA

Location Address820 A1A N STE E9Ponte Vedra Beach, FL 32082-3227

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 1841866811 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.

820 A1A N STE E9, Ponte Vedra Beach, FL 32082

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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

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 1841866811. 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 820 A1a N Ste E9, Ponte Vedra Beach, FL 32082. 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.

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.