| Kool Kidz Pediatrics | |
|
1951 Sw 172nd Ave Suite 410 Miramar FL 33029-5593 | |
| (954) 433-1966 | |
| (954) 433-3466 |
| Full Name | Kool Kidz Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1951 Sw 172nd Ave, Miramar, Florida |
| Authorized Official Name and Position | Valia Moreno (OFFICE MANAGER) |
| Authorized Official Contact | 9544331966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Kidz Pediatrics 1951 Sw 172nd Ave Suite 410 Miramar FL 33029-5593 Ph: (954) 433-1966 | Kool Kidz Pediatrics 1951 Sw 172nd Ave Suite 410 Miramar FL 33029-5593 Ph: (954) 433-1966 |
| NPI Number | 1184884918 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184884918 | NPI | - | NPPES |
| 254343 | Other | FL | AVMED |
| 274336100 | Medicaid | FL | |
| 42955 | Other | FL | BCBS |
| 537102 | Other | FL | CIGNA |
| 53941 | Other | FL | JMH |
| 253373100 | Medicaid | FL | |
| 053586 | Other | FL | NHP |
| 207345 | Other | FL | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME73747 (Florida) | Primary |
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