Organization
KIDZ MEDICAL SERVICES
Active
Other names
Kidz Pediatric Multispecialty Group, KMS - Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E PEREZ MD (PARTNER)
(305) 661-1515
Entity
Organization
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3712
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0202X
Pediatric Cardiology Physician
ME 53246
FL
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372 652 500
—
FL
Enumeration date
05/11/2009
Last updated
02/11/2022
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