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KIDS HEALTH PLACE NPI 1124036819


NPI Information

NPI: 1124036819
Provider Name: KIDS HEALTH PLACE
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2900 W MIDWAY RD
FORT PIERCE, FL
ZIP 34981
Phone: (772) 467-0961
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KIDS HEALTH PLACE is a pediatrics in Fort Pierce, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KIDS HEALTH PLACE NPI is 1124036819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 W MIDWAY RD
FORT PIERCE, FL
ZIP 34981-955
Phone: (772) 467-0961
Fax: (772) 467-6683

The provider's authorized official is David Garth Walters .
The authorized official title is President and has the following contact phone number (772) 467-0961.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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