Organization
ANGEL KIDS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLE C GORDEN ARNP (NURSE PRACTITIONER)
(904) 674-2304
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 32258-5212
(904) 674-2304
(904) 551-1502
Mailing address
13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 32258-5212
(904) 674-2304
(904) 551-1502
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
ARNP9279833
FL
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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