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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

NPI Number 1912096033
LBN Legal business name KIDS CARE PEDIATRICS OF NW FL. INC
Authorized official JENNIFER ZIMMERMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
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
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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