Organization
KIDZ MEDICAL SERVICES
Active
Other names
Pt St. Lucie
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE NAVARRO (CREDENTIALING SPECIALIST)
(305) 662-3290
Entity
Organization
Contact information
Practice address
10521 SW VILLAGE CENTER DR STE 101, PORT ST LUCIE, FL 34987-1930
(561) 558-1212
(833) 464-4219
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
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257829800
—
FL
Enumeration date
10/04/2018
Last updated
07/10/2023
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