KIDZ MEDICAL SRV (NPI# 1700351863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700351863 |
| Entity Type | Organization |
| Organization Name | KIDZ MEDICAL SRV |
| Practice Address |
9200 Bonita Beach Rd Se Ste 106 Bonita Springs FL 34135-4254 |
| Mailing Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 2392130690 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | IRENE NAVARRO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3056632906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257829800 | 05 |
| Other Name | Type Code |
|---|---|
| Bonita Springs Pediatrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497711402 | Kidz Medical Srv | Pediatrics | 5955 Ponce De Leon Blv D, Coral Gables, FL 33146 | 2006-04-26 |
| Street Address |
9200 BONITA BEACH RD SE STE 106 |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860625 | Hugo Perez | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2006-10-26 |
| 1174099717 | Kidz General Pediatrics | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1669475349 | Pompano Er Pediatrics LLC | Pediatrics | 201 E Sample Rd, Pompano Er Pediatrics, Pompano Beach, FL 33064-3502 | 2005-05-24 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| 1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| Find all providers with the same taxonomy | ||||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
Please comment or provide details below to improve the information on KIDZ MEDICAL SRV.
| 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.