Organization
KIDZ PEDIATRIC MULTISPECIALTY
Active
Parent organization
KIDZ MEDICAL SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDZ MEDICAL SERVICES, INC
Authorized official
IRENE NAVARRO (CREDENTIALING SPECIALIST)
(305) 661-1515
Entity
Organization
Contact information
Practice address
14421 METROPOLIS AVE, SUITE 103, FORT MYERS, FL 33912-4323
(239) 597-7000
(239) 552-4060
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 663-5948
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
OS 10324
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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