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Organization
KIDZ MEDICAL SERVICES
Active
Organization
KIDZ MEDICAL SERVICES
Active
Other names
Bonita Springs Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE NAVARRO (CREDENTIALING SPECIALIST)
(305) 663-2906
Entity
Organization
Contact information
Practice address
9200 BONITA BEACH RD SE STE 106, BONITA SPRINGS, FL 34135-4254
(239) 213-0690
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
07/10/2023
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