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Contact Information

KIDS CARE PEDIATRICS OF NW FL. INC
4622 SUMMERDALE BLVD
PACE, FL32571
 Phone: 850-995-0169
 Fax: 850-995-2649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIDS CARE PEDIATRICS OF NW FL INC · (Female)

NPI Number 1912096033
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other 7960252 AETNA
  • FL Other 590 96036 BCBS OF AL
  • FL Other 32936 BCBS OF FL
  • FL Other H8285 FIRST HEALTH
  • FL Other 0540 HEALTH FIRST NETWORK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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