# KIDZ MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonita Springs Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700351863
- **Authorized official:** IRENE NAVARRO (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (305) 663-2906

## Contact information

- **Practice address:** 9200 BONITA BEACH RD SE STE 106, BONITA SPRINGS, FL 34135-4254
- **Practice address phone:** (239) 213-0690
- **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 |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 07/10/2023