Kidz Medical Ppec Services LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

KIDZ MEDICAL PPEC SERVICES LLC

Practice address

125 NE 168TH St
North Miami Beach, FL 33162-3411

Phone

(786) 910-5406

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Gudelia Salazar

Title

Ambr

Phone

(786) 910-5406

Specialties & licenses 1

Addresses

Other names 2

• KIDSVILLE PPEC FOUDATION LLC Former legal business name
• KIDZ MEDICAL PPEC SERVICES LLC Former legal business name

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1245006386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623411",
            "telephone_number": "786-910-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623411",
            "telephone_number": "786-910-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ MEDICAL PPEC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "GUDELIA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-910-5406"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDSVILLE PPEC FOUDATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "KIDZ MEDICAL PPEC SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amir Mohit Kermani, D.C.
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• Karin Kimball, NP
• Tiffany Anne Kimble, PHYSICIAN ASSISTANT
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• Rachel Deborah King, DO
• Sandra M Klein, PSY.D.

• Child Intellectual and/or Developmental Disabilities Respite Care in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.