KIDS AND FAMILIES MEDICAL CLINIC LLC (NPI# 1891359998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891359998 |
| Entity Type | Organization |
| Organization Name | KIDS AND FAMILIES MEDICAL CLINIC LLC |
| Practice Address |
12086 Fort Caroline Rd Ste 404 Jacksonville FL 32225-7640 |
| Practice Telephone | 9043006248 |
| Mailing Telephone | 9047473800 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | DR. KIA MITCHELL (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9043006248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
12086 FORT CAROLINE RD STE 404 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-7640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462771 | Parabrahma Pa | Family Medicine | 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 | 2019-02-06 |
| 1487814752 | University of Florida Jacksonville Physicians Inc | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2008-06-11 |
| 1235398983 | University of Florida Jacksonville Physicians, Inc. | Family Medicine | 5460 Blanding Blvd Ste 3, Ufjp Anchor Plaza, Jacksonville, FL 32244-1957 | 2008-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932408648 | Liliam Hernandez Md Pa | Family Medicine | 15380 Sw 57th Ter, Miami, FL 33193-2515 | 2011-03-21 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1720117690 | Parmanand Vijay Poonai | Family Medicine | 103 Sunset Cir, Port St Joe, FL 32456-2115 | 2007-03-05 |
| 1114032109 | Carl F Dennison | Family Medicine | 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 | 2006-08-20 |
| 1508970989 | Rita Garulli Chidiac | Family Medicine | 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 | 2006-08-19 |
| 1871524181 | Deborah Anne Weyer | Family Medicine | 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 | 2006-07-05 |
| 1164472627 | Harold Silberman | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-12 |
| 1144212135 | Orlon Vere Carr IIi | Family Medicine | 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 | 2005-08-17 |
| 1063028850 | Carline Grand-pierre | Family Medicine | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2020-09-17 |
| 1861963563 | Alba Lucia Ceballos | Family Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-12-07 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.