| Kinro Care Inc | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (407) 498-5274 | |
| (407) 900-8098 |
| Full Name | Kinro Care Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Adetoluwa Ijidakinro (CEO/FOUNDER) |
| Authorized Official Contact | 4079008098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinro Care Inc 9300 Conroy Windermere Rd Unit 161 Windermere FL 34786-5007 Ph: () - | Kinro Care Inc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (407) 498-5274 |
| NPI Number | 1801515952 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 9830568468 |
|---|---|
| Medicare Enrollment ID | O20221202002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801515952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Adetoluwa Emmanuel Ijidakinro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760973812 PECOS PAC ID: 5597140228 Enrollment ID: I20220916001485 |
| Provider Name | Ralph Desir |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306408349 PECOS PAC ID: 4385063692 Enrollment ID: I20241122002392 |
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