Organization
COOL KIDZ PEDIATRICS LLC
Active
Parent organization
COOL KIDZ PEDIATRICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOL KIDZ PEDIATRICS LLC
Authorized official
DR. KESHAVA H BABU MD (MANAGING MEMBER)
(813) 223-3300
Entity
Organization
Contact information
Practice address
2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 33607-6545
(813) 873-1725
Mailing address
208 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067708600
—
FL
Enumeration date
08/27/2018
Last updated
06/30/2021
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