DR. ROSIE'S PEDIATRICS NPI 1336496629

NPI Information

  • NPI: 1336496629
  • Provider Name: DR. ROSIE'S PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: KID'S PLACE PEDIATRICS, P.A.
  • CLIA Number: 10D2044162
  • Address: 466 SW PORT SAINT LUCIE BLVD., SUITE 116
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Phone: (772) 341-7433

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NPI Details

DR. ROSIE'S PEDIATRICS is a pediatrics in Port Saint Lucie, 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. DR. ROSIE'S PEDIATRICS NPI is 1336496629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kid's Place Pediatrics, P.a..

The provider's business location address is:

466 SW PORT SAINT LUCIE BLVD., SUITE 116
PORT SAINT LUCIE, FL
ZIP 34953-091
Phone: (772) 341-7433
Fax: (772) 237-4622

The provider's authorized official is Rosario Correa .
The authorized official title is Owner and has the following contact phone number (772) 341-7433.

The CLIA number assigned to this NPI record is 10D2044162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2012 and was last updated on 12/22/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME91787FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U4547AOTHERFLORIDAMEDICARE
2271863400MEDICAIDFLORIDA

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: 11/21/2025

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