OrganizationActive
Kids and Families Medical Clinic LLC
NPI 1891359998 · Adolescent Medicine (Family Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1891359998
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kia Mitchell, Authorized Official(904) 300-6248
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Endocrinology Physician2080P0205X
Allopathic & Osteopathic Physicians
Practice location
12086 Fort Caroline Rd Ste 404
Jacksonville, FL 32225-7640
Phone: (904) 300-6248
Approximate (ZIP-level) locationGet directions
Mailing address
12086 Fort Caroline Rd Ste 404
Jacksonville, FL 32225-7640
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.