KIDZ MEDICAL SERVICES – NPI #1235604307
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

KIDZ MEDICAL SERVICES is a provider located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1235604307 to KIDZ MEDICAL SERVICES on October 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. KIDZ MEDICAL SERVICES is also known by the name PT ST. LUCIE. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 3 years ago on Jul 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDZ MEDICAL SERVICES below.

NPI Profile for
KIDZ MEDICAL SERVICES

NPI Number
1235604307
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIDZ MEDICAL SERVICES
Other Name: PT ST. LUCIE
Primary location
10521 SW VILLAGE CENTER DR STE 101
PORT SAINT LUCIE, FL 34987-1930
Phone: (561) 558-1212 Fax: (833) 464-4219
Mailing address
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone: (305) 661-1515 Fax: (305) 662-3723
Organization Subpart
No
Authorized Official
IRENE NAVARRO
CREDENTIALING SPECIALIST
Phone: (305) 662-3290
Updated
Certification Date
Jul 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIDZ MEDICAL SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL257829800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.