Organization Active NPI

Kidswoods Pediatrics Corp

  • Pediatrics Physician
  • Winter Park, FL
National Provider Identifier
1114298601
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME98395 Issued in FL
Legal business name
KIDSWOODS PEDIATRICS CORP
Practice address
1936 Lee Rd
Sutie 137
Winter Park, FL 32789-7229
Phone
(321) 207-0623
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Dr. Zully E Ambroise, MDNPI 1316167083
Title
Owner
Phone
(407) 398-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME98395 FL Primary

Addresses

Primary practice location

1936 Lee Rd
Sutie 137
Winter Park, FL 32789-7229

Mailing address

1177 Kenwood Ave
Winter Park, FL 32789-2418

Other identifiers 1

IdentifierTypeStateIssuer
278141700MedicaidFL

Other names 1

  • Zully E Ambroise Doing business as

National Provider Directory

National Provider Directory

Locations

1936 Lee Rd
Ste 137
Winter Park, FL 32789
Phone (407) 637-8300

1680 Lee Rd
Winter Park, FL 32789
Phone (321) 207-0623

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1114298601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 KENWOOD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LEE RD",
            "address_2": "SUTIE 137",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897229",
            "telephone_number": "321-207-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSWOODS PEDIATRICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "ZULLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-398-6470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278141700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zully E Ambroise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.