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KIDS TALK PLACE LLC NPI 1932861234


NPI Information

NPI: 1932861234
Provider Name: KIDS TALK PLACE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4100 S FERDON BLVD STE A1
CRESTVIEW, FL
ZIP 32536
Phone: (850) 682-8388
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KIDS TALK PLACE LLC is a clinic center in Crestview, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KIDS TALK PLACE LLC NPI is 1932861234. The provider is registered as an organization entity type.

The provider's business location address is:

4100 S FERDON BLVD STE A1
CRESTVIEW, FL
ZIP 32536-287
Phone: (850) 682-8388

The provider's authorized official is Marjorie M Smith .
The authorized official title is Owner and has the following contact phone number (850) 982-5798.

The enumeration date for this NPI number is 10/13/2021 and was last updated on 11/15/2022.


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
1261QH0700XClinic/CenterHearing and SpeechNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261Q00000XClinic/CenterYes

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
1889624104MEDICAIDFLORIDA
2889624100MEDICAIDFLORIDA
39ZBKJOTHERBCBS
4812245800MEDICAIDFLORIDA

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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