# KIDZ MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1912355371
- **Authorized official:** IRENE NAVARRO (CREDENTIALING)
- **Authorized official phone:** (305) 661-1515

## Contact information

- **Practice address:** 925 NE 30TH TER STE 102, HOMESTEAD, FL 33033-7614
- **Practice address phone:** (786) 404-6612
- **Practice address fax:** (833) 464-4218
- **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 |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 05/26/2016
- **Last updated:** 04/21/2025
