Organization
KIDDIE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIRAH IGLESIAS (MANAGER)
(407) 530-4928
Entity
Organization
Contact information
Practice address
512 W CHERRY ST STE D, KISSIMMEE, FL 34741-4114
(407) 530-4928
(407) 530-4794
Mailing address
PO BOX 1286, WINDERMERE, FL 34786-1286
(800) 454-9454
(800) 454-9655
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
10/25/2013
Last updated
10/24/2017
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