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Organization

INDEPENDENT KIDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHTAB SHALBAFIAN OTR/L (PRESIDENT)
(954) 478-6302
Entity
Organization

Contact information

Practice address
650 NE 22ND TER, HOMESTEAD, FL 33033-4709
(954) 478-6302
(305) 230-2718
Mailing address
735 CUMBERLAND TER, DAVIE, FL 33325-1233
(954) 478-6302
(305) 230-2718

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/15/2021
Last updated
08/13/2025
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