Organization
PEDIKIDZ OF FLORIDA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BELTRAN (OWNER)
(305) 591-0188
Entity
Organization
Contact information
Practice address
2311 10TH AVE N STE 12, LAKE WORTH, FL 33461-6605
(305) 596-1088
Mailing address
9301 SW 56TH ST STE C, MIAMI, FL 33165-6559
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024896100
—
FL
Enumeration date
11/04/2021
Last updated
11/22/2021
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