KIDZ MEDICAL SERVICES (NPI# 1235604307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235604307 |
| Entity Type | Organization |
| Organization Name | KIDZ MEDICAL SERVICES |
| Other Organization Name | PT ST. LUCIE |
| Practice Address |
10521 Sw Village Center Dr Port St Lucie FL 34987-1930 |
| Mailing Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 5615581212 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | IRENE NAVARRO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3056623290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257829800 | 05 |
| Other Name | Type Code |
|---|---|
| Pt St. Lucie | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1144537077 | Kidz Medical Services | Pediatrics | 6280 Sw 72nd St Ste 607, South Miami, FL 33143-4875 | 2010-09-14 |
| 1902329907 | Kidz Medical Services | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2017-07-21 |
| 1881047314 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 318, Boca Raton, FL 33428-1762 | 2016-07-20 |
| 1710337498 | Kidz Medical Services | Psychiatry & Neurology | 9980 Central Park Blvd N, Suite 122, Boca Raton, FL 33428-1762 | 2016-06-14 |
| 1700235637 | Kidz Medical Services | Pediatrics | 927 45th St Ste 206, Mangonia Park, FL 33407-2450 | 2016-06-10 |
| 1457709511 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave, Suite 202, West Palm Beach, FL 33407-2452 | 2016-05-31 |
| 1699123695 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 206, Boca Raton, FL 33428-1762 | 2016-05-31 |
| 1912355371 | Kidz Medical Services | Pediatrics | 975 Baptist Way, Suite 2025, Homestead, FL 33033-7600 | 2016-05-26 |
| 1508139460 | Kidz Medical Services | Pediatrics | 2600 Immokalee Rd, Naples, FL 34110-1424 | 2012-02-22 |
| Street Address |
10521 SW VILLAGE CENTER DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377595 | Valant Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 10521 Sw Village Center Dr, Suite 104, Port St Lucie, FL 34987-1930 | 2017-03-20 |
| 1053764779 | Surgcenter of St. Lucie, LLC | Clinic/Center | 10521 Sw Village Center Dr, Suite 104, Port St Lucie, FL 34987-1930 | 2016-07-18 |
| 1023489630 | Bee Well Pediatrics | Pediatrics | 10521 Sw Village Center Dr, 101-a, Port St Lucie, FL 34987-1930 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503442 | Gerold Ludwig Schiebler | Pediatrics | 408 Beachside Pl, Amelia Island, FL 32034-6551 | 2019-02-02 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1932477023 | Samir M. Ebeid | Pediatrics | 2202 State Ave Ste 302, Panama City, FL 32405 | 2011-12-05 |
| 1083927537 | Mch Pediatric Cardiology, LLC | Pediatrics | 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 | 2010-07-26 |
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1801060652 | Sumbal Sattar | Pediatrics | 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 | 2008-04-14 |
| 1871613620 | Carlo M Zeidenweber | Pediatrics | 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 | 2007-03-29 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.