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Contact Information

KIDZ PEDIATRIC MULTISPECIALTY
14421 METROPOLIS AVE
SUITE 103
FORT MYERS, FL33912-4323
 Phone: 239-597-7000
 Fax: 239-552-4060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KIDZ PEDIATRIC MULTISPECIALTY

NPI Number 1417494873
LBN Legal business name KIDZ PEDIATRIC MULTISPECIALTY
Authorized official IRENE NAVARRO - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Identifiers
FL License # OS 10324
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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