Kid MD Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME89366 Issued in FL

Legal business name

KID MD PEDIATRICS LLC

Practice address

13848 Tilden Rd
Suite 230
Winter Garden, FL 34787-5326

Phone

(407) 347-6144

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruben Gonzalez-Florin, MD

Title

President

Phone

(407) 347-6144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1447505961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 TILDEN RD",
            "address_2": "SUITE 230",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875326",
            "telephone_number": "407-347-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 TILDEN RD",
            "address_2": "SUITE 230",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875326",
            "telephone_number": "407-347-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID MD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-FLORIN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-347-6144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saira Alquraeshi Khan, M.D.
• Ashok K Khanna, M.D.
• Himanshu Krishan Khanna, MD
• Amira Khatib
• Ashin Khoshnaw, MD
• Loyd J. Kiernan III, DMD
• Ashley Zak Kimble, O.D.
• King Interpreting Services LLC
• King Premier Care Service, LLC
• Kristin King, DPT

• Pediatrics Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.