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KIDS HEART PEDIATRICS PA NPI 1699352153


NPI Information

NPI: 1699352153
Provider Name: KIDS HEART PEDIATRICS PA
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12505 ORANGE DR STE 907
DAVIE, FL
ZIP 33330
Phone: (954) 579-3916
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KIDS HEART PEDIATRICS PA is a pediatrics in Davie, 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 HEART PEDIATRICS PA NPI is 1699352153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12505 ORANGE DR STE 907
DAVIE, FL
ZIP 33330-300
Phone: (954) 579-3916
Fax: (954) 688-7055

The provider's authorized official is Maria C Serrano .
The authorized official title is Pd and has the following contact phone number (954) 510-2060.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.


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
12080P0202XPediatricsPediatric CardiologyNo
2208000000XPediatricsYes

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
1012102200MEDICAIDFLORIDA

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

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