My Kids Pedriatics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MY KIDS PEDRIATICS

Practice address

17900 NW 5TH St
Suite204
Pembroke Pines, FL 33029-2808

Phone

(954) 437-0525

Fax

(954) 437-0526

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Belliaminowa Jackson, M.D.

Title

President

Phone

(954) 437-0525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1386883544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST",
            "address_2": "SUITE204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292808",
            "telephone_number": "954-437-0525",
            "fax_number": "954-437-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST",
            "address_2": "SUITE204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292808",
            "telephone_number": "954-437-0525",
            "fax_number": "954-437-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KIDS PEDRIATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BELLIAMINOWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-437-0525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.