OrganizationActive
Angel Kids Pediatrics
NPI 1619268612 · Pediatric Clinical Nurse Specialist · Jacksonville, FL
Provider details
- NPI number
- 1619268612
- Entity type
- Organization
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Camille Gorden, Nurse Practitioner
- License
- ARNP9279833 (FL)
Practice location
13241 Bartram Park Blvd
Suite 209
Jacksonville, FL 32258-5212
Phone: (904) 674-2304
Fax: (904) 551-1502
Mailing address
13241 Bartram Park Blvd
Jacksonville, FL 32258-5212
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2011-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.