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 1841866811

Angel Kids PA provides Pediatrics Physician services in Ponte Vedra Beach, 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

820 A1A N Ste E9
Ponte Vedra Beach, FL 32082-3227
Phone: (904) 242-4220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1841866811
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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