| Kidspace Therapy Center, LLC. | |
|
6001 Nw 153rd St Ste 156 Miami Lakes FL 33014-2447 | |
| (305) 527-4961 | |
| Not Available |
| Full Name | Kidspace Therapy Center, LLC. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6001 Nw 153rd St Ste 156, Miami Lakes, Florida |
| Authorized Official Name and Position | Raul Soto (OWNER) |
| Authorized Official Contact | 3055274961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspace Therapy Center, LLC. 6001 Nw 153rd St Ste 156 Miami Lakes FL 33014-2447 | Kidspace Therapy Center, LLC. 6001 Nw 153rd St Ste 156 Miami Lakes FL 33014-2447 Ph: (305) 527-4961 |
| NPI Number | 1912546433 |
|---|---|
| Provider Enumeration Date | 01/01/2020 |
| Last Update Date | 08/08/2026 |
| Certification Date | 08/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912546433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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