# MAGIKIDZ, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093207664
- **Authorized official:** MRS. MERCEDES MARIA ACOSTA (ITDS/PRESIDENT)
- **Authorized official phone:** (786) 278-0623

## Contact information

- **Practice address:** 6850 W 16TH DR APT 219, HIALEAH, FL 33014
- **Practice address phone:** (786) 278-0623
- **Practice address fax:** (305) 602-8466
- **Mailing address:** 6850 W 16TH DR APT 219, HIALEAH, FL 33014-4459
- **Mailing address phone:** (786) 278-0623
- **Mailing address fax:** (305) 602-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | FL | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 08/15/2018