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Organization

KIDZ GENERAL PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRENE NAVARRO (HR/CREDENTIALING SPECIALIST)
(305) 661-1515
Entity
Organization

Contact information

Practice address
9200 BONITA BEACH RD SE STE 106, BONITA SPRINGS, FL 34135-4254
(239) 213-0690
(239) 552-4060
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
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