# KIDZ MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kidz Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366676033
- **Authorized official:** JORGE E. PEREZ MD (PARTNERS)
- **Authorized official phone:** (305) 661-1515

## Contact information

- **Practice address:** 5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
- **Practice address phone:** (305) 661-1515
- **Practice address fax:** (305) 662-3723
- **Mailing address:** 5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
- **Mailing address phone:** (305) 661-1515
- **Mailing address fax:** (305) 662-3723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | ME 53246 | FL | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 372 652 500 | — | FL |