# KIDZ MECICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kidz Pulmonary Center and Kidz Immunization
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891143947
- **Authorized official:** IRENE NAVARRO (CREDENTIALING)
- **Authorized official phone:** (305) 661-1515

## Contact information

- **Practice address:** 301 NE 10TH ST, HOMESTEAD, FL 33030-4613
- **Practice address phone:** (305) 668-0075
- **Practice address fax:** (305) 668-6299
- **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 |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 06/10/2016