Kidz General Pediatrics

NPI #1174099717 in Bonita Springs, Florida

Provider Information

NPI Number: 1174099717
Entity Type: Organization
Organization Name: Kidz General Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 9200 BONITA BEACH RD SE STE 106
City: Bonita Springs
State: Florida
ZIP Code: 34135-4254
Phone: (239) 213-0690

Authorized Official

Name: IRENE NAVARRO
Title: HR/CREDENTIALING SPECIALIST
Phone: (305) 661-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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