Organization
ANGEL KIDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF A ABU AFFAN MD (PRESIDENT)
(904) 242-4220
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 32258
(904) 242-4220
(904) 674-2313
Mailing address
13241 BARTRAM PARK BLVD., SUITE 209, JACKSONVILLE, FL 32258
(904) 242-4220
(904) 674-2313
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270166900
—
FL
Enumeration date
02/16/2007
Last updated
07/28/2015
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