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Organization
YOUR WAY PEDIATRICS
Active
Organization
YOUR WAY PEDIATRICS
Active
Parent organization
YOUR WAY PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR WAY PEDIATRICS
Authorized official
MRS. CHRISTINA M RALKO APRN (NURSE PRACTITIONER)
(313) 629-1552
Entity
Organization
Contact information
Practice address
360 TOWN PLAZA AVE STE 330, PONTE VEDRA, FL 32081-5175
(904) 419-9086
(864) 448-1482
Mailing address
360 TOWN PLAZA AVE STE 330, PONTE VEDRA, FL 32081-5175
(904) 419-9086
(864) 448-1482
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/01/2024
Last updated
02/12/2025
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