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Organization

JACKSONVILLE KIDS PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRA MARY KOSTUR M.D. (OWNER)
(904) 253-3459
Entity
Organization

Contact information

Practice address
7807 BAYMEADOWS RD E, SUITE 207, JACKSONVILLE, FL 32256-9664
(904) 253-3459
Mailing address
13743 SAXON LAKE DR, JACKSONVILLE, FL 32225-2624
(904) 253-3459

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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