Provider Type Icon

CHILDREN'S HEMATOLOGY & ONCOLOGY ASSOCIATES NPI 1336524214


NPI Information

NPI: 1336524214
Provider Name: CHILDREN'S HEMATOLOGY & ONCOLOGY ASSOCIATES

Doing Business As: KIDZ MEDICAL SERVICES, INC A DIVISION OF

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

CLIA Number: 10D2119041

Address:
927 45TH ST STE 201
MANGONIA PARK, FL
ZIP 33407
Phone: (561) 844-8354
Get Directions

CHILDREN'S HEMATOLOGY & ONCOLOGY ASSOCIATES is a pediatric hematology-oncology pediatrics in Mangonia Park, FL. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. CHILDREN'S HEMATOLOGY & ONCOLOGY ASSOCIATES NPI is 1336524214. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kidz Medical Services, Inc A Division Of.

The provider's business location address is:

927 45TH ST STE 201
MANGONIA PARK, FL
ZIP 33407-450
Phone: (561) 844-8354
Fax: (833) 464-4215

The provider's authorized official is Jorge E Perez .
The authorized official title is Medical Director and has the following contact phone number (305) 661-1515.

The CLIA number assigned to this NPI record is 10D2119041 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 7/10/2023.


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
12080P0207XPediatricsPediatric Hematology-OncologyFLORIDAYes

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
1257-829-800MEDICAIDFLORIDA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.