Organization
KIDZ MEDICAL SERVICES
Active
Other names
Pediatric Pulmonary Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY MENDIOLA (CFO, COO)
(305) 661-1515
Entity
Organization
Contact information
Practice address
6280 SW 72ND ST STE 607, SOUTH MIAMI, FL 33143-4875
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 668-0075
(305) 668-6299
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME47855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046371001
—
FL
Enumeration date
09/14/2010
Last updated
02/09/2022
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