Pedikidz of Florida Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEDIKIDZ OF FLORIDA CORP

Practice address

2311 10TH Ave N Ste 12
Lake Worth, FL 33461-6605

Phone

(305) 596-1088

NPI assigned

Nov 4, 2021

Last updated

Nov 22, 2021By 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

Rebecca Beltran

Title

Owner

Phone

(305) 591-0188

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Pedikidz of Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pedikidz of Florida Corp

  • Clinic/Center
  • Miami, FL
  • NPI 1114693512
  NPD tax ID

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1780349712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 SW 56TH ST STE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N STE 12",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "305-596-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIKIDZ OF FLORIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-591-0188"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024896100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PCP Specialists of the Palm Beaches, LLC
• Beatriz Pealaez
• Kevin Joseph Peckovitch, DPT
• Pirkko Pedersen, DDS
• Pediatric Medical Associates, LLC.
• Pedikidz of Palm Beach
• Pedikidz of Palm Beach Therapy
• Jorge Enrique Pedraza, PHARMD
• Arlin Pedroso Batista
• Pegasus Behavioral Health Inc (Sky Health Center)

• Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.