KIDZ PEDIATRIC MULTISPECIALTY (NPI# 1417494873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417494873 |
| Entity Type | Organization |
| Organization Name | KIDZ PEDIATRIC MULTISPECIALTY |
| Practice Address |
14421 Metropolis Ave Suite 103 Fort Myers FL 33912-4323 |
| Mailing Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 2395977000 |
| Practice Fax Number | 2395524060 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056635948 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | IRENE NAVARRO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3056611515 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIDZ MEDICAL SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
OS 10324 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14421 METROPOLIS AVE SUITE 103 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326263526 | Catherine Scrogin Bir | Physical Therapist | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2007-04-16 |
| 1306381934 | Kidz Medical Services, Inc | Otolaryngology | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2017-01-06 |
| 1053769802 | Jennifer Stuckey | Occupational Therapist | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2016-06-01 |
| 1184029621 | Jeannette Schetrompf | Speech-Language Pathologist | 14421 Metropolis Ave, Unit 103, Fort Myers, FL 33912-4323 | 2014-10-27 |
| 1134522956 | Michelle Lynn Tretter | Occupational Therapist | 14421 Metropolis Ave, Unit 103, Fort Myers, FL 33912-4323 | 2014-10-07 |
| 1215367768 | Christine Marie Goll | Speech-Language Pathologist | 14421 Metropolis Ave, Ste 103, Fort Myers, FL 33912-4323 | 2013-11-20 |
| 1861755845 | Tricia Lynne Nicolette | Speech-Language Pathologist | 14421 Metropolis Ave, Unit 103, Fort Myers, FL 33912-4323 | 2012-06-24 |
| 1104143486 | Vip America of Southwest Florida, LLC | Home Health | 14421 Metropolis Ave, Suite 104, Fort Myers, FL 33912-4323 | 2010-04-27 |
| 1417103425 | Sergio J. Vignali,m.d.,llc | Specialist | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2008-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389962 | Pediatric Ent of Southwest Florida Pllc | Otolaryngology | 19 Georgetown, Fort Myers, FL 33919-1088 | 2014-05-21 |
| 1306381934 | Kidz Medical Services, Inc | Otolaryngology | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2017-01-06 |
| 1598724619 | Douglas Gottschalk | Otolaryngology | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2006-03-18 |
| 1962499988 | Stuart A Morgenstein | Otolaryngology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002072 | Pediatric Ent, LLC | Otolaryngology | 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 | 2009-01-05 |
| 1285888396 | Yamilet Tirado | Otolaryngology | 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 | 2008-11-17 |
| 1295928380 | Aiysha C Balbosa | Otolaryngology | 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | 2007-08-22 |
| 1801002100 | Kyle Leslie Bressler | Otolaryngology | 6754 Stonegate Dr, Naples, FL 34109-7224 | 2007-05-15 |
| 1114011707 | Karin Swisher Hotchkiss | Otolaryngology | 5105 N Armenia Ave, Tampa, FL 33603-1405 | 2006-10-03 |
| 1568554400 | Scott Brietzke | Otolaryngology | 1131 N 35th Ave Ste 300, Hollywood, FL 33021 | 2006-09-29 |
| 1669573028 | Kathleen M Wasylik | Otolaryngology | 601 5th St. South, #701, St Petersburg, FL 33701 | 2006-09-26 |
| 1801902739 | Saswata Roy | Otolaryngology | 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 | 2006-08-22 |
| 1275588303 | Daniel L Wohl | Otolaryngology | 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 | 2006-05-24 |
| 1487628251 | David L Mandell | Otolaryngology | 10150 Hagen Ranch Road, Suite 100, Boynton Beach, FL 33437 | 2006-02-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on KIDZ PEDIATRIC MULTISPECIALTY.
| 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.