Kids and Families Medical Clinic LLC

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

KIDS AND FAMILIES MEDICAL CLINIC LLC

Practice address

12086 Fort Caroline Rd Ste 404
Jacksonville, FL 32225-7640

Phone

(904) 300-6248

NPI assigned

Apr 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kia Mitchell, MD

Title

Authorized Official

Phone

(904) 300-6248

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myeshia Carter, APRN

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1184300808

  Single Specialty

  NPD (past)
• Susan Lee

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1003230657
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1891359998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257640",
            "telephone_number": "904-747-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257640",
            "telephone_number": "904-300-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND FAMILIES MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-300-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kidder, RN
• Cynthia Kiddey, APRN
• Kidney Clinic of Jacksonville, LLC
• Kidney Clinic of North Florida PLLC
• Kidney Kare of Jacksonville FL, Inc.
• Kids First Dentistry,Inc
• Victor Kiebalo, MD
• John Michael Kiel, DO
• Katrina Kielbowicz, LMHC,LMFT
• Daniel John Kieleszewski, APRN

• Adolescent Medicine (Family Medicine) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adolescent Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.