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

Ellis Pediatrics, PLLC

Organization Pediatrics Physician · NPI 1134844426

Ellis Pediatrics, PLLC is a Pediatrics Physician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12086 Fort Caroline Rd Ste 401
Jacksonville, FL 32225-7640
Phone: (904) 456-9240
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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 number1134844426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenyanita Ellis — Owner/Pediatrician · (904) 456-9240
NPI enumeratedOctober 10, 2022
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address12086 Fort Caroline Rd Ste 401, Jacksonville, FL 32225-7640

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