Organization
MAGIKIDZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES MARIA ACOSTA (ITDS/PRESIDENT)
(786) 278-0623
Entity
Organization
Contact information
Practice address
6850 W 16TH DR APT 219, HIALEAH, FL 33014
(786) 278-0623
(305) 602-8466
Mailing address
6850 W 16TH DR APT 219, HIALEAH, FL 33014-4459
(786) 278-0623
(305) 602-8466
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
05/30/2018
Last updated
08/15/2018
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