Medi-Kids LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53193 Issued in FL

Legal business name

MEDI-KIDS LLC

Practice address

7217 Green Slope Dr
Zephyrhills, FL 33541-1306

Phone

(813) 782-5086

Fax

(813) 783-8382

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Alicia Fernandez-Garcia, MD

Title

Owner

Phone

(813) 782-5086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1700102431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-782-5086",
            "fax_number": "813-783-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-782-5086",
            "fax_number": "813-783-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-GARCIA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-782-5086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.