Provider Demographics
NPI:1649357518
Name:ALL ABOUT KIDS AND FAMILIES MEDICAL CENTER, INC
Entity type:Organization
Organization Name:ALL ABOUT KIDS AND FAMILIES MEDICAL CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:904-854-7202
Mailing Address - Street 1:P.O. BOX 552307
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33655-2307
Mailing Address - Country:US
Mailing Address - Phone:904-854-7202
Mailing Address - Fax:904-378-0216
Practice Address - Street 1:5045 SOUTEL DR
Practice Address - Street 2:SUITE 13
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-1898
Practice Address - Country:US
Practice Address - Phone:904-854-0470
Practice Address - Fax:904-854-0471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277207800Medicaid