# ORTHO KICKZ OF FLORIDA

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

## Provider details

- **NPI number:** 1477951697
- **Authorized official:** SHARONDRA HUDSON (OWNER)
- **Authorized official phone:** (305) 244-3239

## Contact information

- **Practice address:** 1164 NW 75TH ST, MIAMI, FL 33150-3340
- **Practice address phone:** (305) 244-3239
- **Mailing address:** 1164 NW 75TH ST, MIAMI, FL 33150-3340
- **Mailing address phone:** (305) 244-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 12/22/2014