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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