Organization
KIDZMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CHAN-RAGAZZO MD (OWNER/PHYSICIAN)
(407) 492-2338
Entity
Organization
Contact information
Practice address
5979 VINELAND RD STE 111, ORLANDO, FL 32819-7855
(407) 492-2338
Mailing address
7234 STILL POND LN, WINDERMERE, FL 34786-0147
(407) 492-2338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280511100
—
FL
Enumeration date
03/08/2021
Last updated
01/27/2022
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