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Dr. Kenyanita Ellis, DO
Pediatrics Physician in Jacksonville, Florida
NPI 1841727716

Kenyanita Ellis is a Pediatrics Physician based in Jacksonville, FL. Kenyanita Ellis practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Kenyanita Ellis is 1841727716 and holds a License No. OS16790 (Florida).

The current practice location address for Kenyanita Ellis is 12086 Fort Caroline Rd Ste 401, Jacksonville, FL and can be reached out via phone at 904-456-9240 and via fax at 904-456-9231.

Location: 12086 Fort Caroline Rd Ste 401, Jacksonville, FL, 32225-7640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841727716
Provider Name
Kenyanita Ellis
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
12086 Fort Caroline Rd Ste 401, Jacksonville, FL, 32225-7640
Phone Number
904-456-9240
Fax Number
904-456-9231
Provider Enumeration Date
05/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106632500 05 FL
institution
Provider Business Practice Location Address Details
Address
12086 Fort Caroline Rd Ste 401
City
Jacksonville
State
Florida
Zip
32225-7640
Phone Number
904-456-9240
Fax Number
904-456-9231
person
Provider Business Mailing Address Details
Address
12086 Fort Caroline Rd Ste 401
City
Jacksonville
State
Florida
Zip
32225-7640
Phone Number
904-456-9240
Fax Number
904-456-9231
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
OS16790 (Florida)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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