Kids Care Pediatrics,PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS CARE PEDIATRICS,PA

Practice address

6910 Old Wolf Bay Rd
Palatka, FL 32177-6800

Phone

(386) 328-7337

NPI assigned

Oct 12, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Owen Mark Rosenberg

Title

Practice Advisor

Phone

(386) 325-9811

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Svetlana Rogozina, MD

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1568576437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1104814185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE PEDIATRICS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRACTICE ADVISOR",
        "authorized_official_telephone_number": "386-325-9811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107889601",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "72696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol M Kazounis, RD
• Brandon Kelly, CNA
• Christopher Kennedy, RPT
• Kepler Enterprises, LLC
• Casey R Key, MA, CCC-SLP
• Kids Care Pediatrics,PA
• Jeb Kincannon, DPT
• Angela Nicole King, LMT
• Gail King, PHARM D, MBA
• Sarabeth Kirkland, SLPD, CCC-SLP

• Pediatrics Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.