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PM KIDS HOLLYWOOD NPI 1396496055


NPI Information

NPI: 1396496055
Provider Name: PM KIDS HOLLYWOOD

Doing Business As: PM KIDZ

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D2256384

Address:
23620 THREE NOTCH RD UNIT 101
HOLLYWOOD, MD
ZIP 20636
Phone: (240) 585-7128
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PM KIDS HOLLYWOOD is a pediatrics in Hollywood, MD. 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. PM KIDS HOLLYWOOD NPI is 1396496055. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pm Kidz.

The provider's business location address is:

23620 THREE NOTCH RD UNIT 101
HOLLYWOOD, MD
ZIP 20636-083
Phone: (240) 585-7128
Fax: (240) 607-6749

The provider's authorized official is Nadia Wedderburn .
The authorized official title is Partner and has the following contact phone number (786) 597-8989.

The CLIA number assigned to this NPI record is 21D2256384 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 4/6/2022.


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
1163WP0200XRegistered NursePediatricsNo
22080P0202XPediatricsPediatric CardiologyNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo
6251E00000XHome HealthNo
7208000000XPediatricsYes

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.