Abc Kid'S Pediatrics, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME94530 Issued in FL

Legal business name

ABC KID'S PEDIATRICS, LLC

Practice address

333 Arthur Godfrey Rd
Suite 514
Miami, FL 33140-3641

Phone

(786) 802-2089

Fax

(786) 802-2091

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Ronit Kessous, M.D.

Title

Owner

Phone

(786) 802-2089

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1497138952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ARTHUR GODFREY RD",
            "address_2": "SUITE 514",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "786-802-2089",
            "fax_number": "786-802-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ARTHUR GODFREY RD",
            "address_2": "SUITE 514",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "786-802-2089",
            "fax_number": "786-802-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC KID'S PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "KESSOUS",
        "authorized_official_first_name": "RONIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-802-2089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME94530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277451800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abc Florida Therapy LLC
• Abc Group Home Corp
• Abc Health Care Services LLC
• Abc Home Health Care
• Abc Hospital Equipment & Supply
• Abc Learn & Behave Inc
• Abc Medical Group Inc
• Abc Medical Service, LLC.
• Abc Medical Supply, Inc.
• Abc Miami Adult Day Care, LLC

• All providers in Miami, FL
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.