Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Kids PA

Organization Pediatrics Physician · NPI 1386210367

Angel Kids PA is a Pediatrics Physician in St Johns, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

774 State Road 13
St Johns, FL 32259-3857
Phone: (904) 242-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1386210367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azza Ghandour — Billing/Credentialing Manager · (904) 242-4220
Other names Angel Kids Pediatrics
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address13241 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5233

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