Organization
THE KIDSPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J KENNEDY OTR L (PARTNER)
(941) 722-3582
Entity
Organization
Contact information
Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
Mailing address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8119511 00
—
FL
05
—
881839800
—
FL
Enumeration date
01/10/2007
Last updated
01/20/2009
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