Kidz Doc, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME54056 Issued in FL

Legal business name

KIDZ DOC, PA

Doing business as

KIDZ DOC, PA

Practice address

6080 SW 40TH St
Suite 9
Miami, FL 33155-5233

Phone

(305) 668-2144

Fax

(305) 668-7791

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Vega, M.D.

Title

President

Phone

(305) 668-2144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KIDZ DOC, PA Doing business as

Locations

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1477834380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SW 40TH ST",
            "address_2": "SUITE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555233",
            "telephone_number": "305-668-2144",
            "fax_number": "305-668-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 SW 40TH ST",
            "address_2": "SUITE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555233",
            "telephone_number": "305-668-2144",
            "fax_number": "305-668-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ DOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-668-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME54056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062069600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDZ DOC, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.