Organization
KIDSTOWN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET OKONKWO MD (MD)
(305) 576-5437
Entity
Organization
Contact information
Practice address
211 NE 89TH ST, EL PORTAL, FL 33138-3119
(305) 576-5437
(305) 576-5120
Mailing address
7800 SW 87TH AVE, MIAMI, FL 33173-3570
(954) 731-9676
(954) 731-9747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269200700
—
FL
01
—
74168
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/27/2007
Last updated
10/16/2017
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