Organization Active NPI

Flicker Paul Goldberg & Keller, M.D., P.a.

Doing business as kings bay pediatrics

  • Pediatrics Physician
  • Village of Palmetto Bay, FL
National Provider Identifier
1821100967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FLICKER PAUL GOLDBERG & KELLER, M.D., P.A.
Doing business as
kings bay pediatrics
Practice address
8750 SW 144TH St
Suite #100
Village of Palmetto Bay, FL 33176-7296
Phone
(305) 253-5585
Fax
(305) 253-5679
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Flicker, M.D.NPI 1437147931
Title
Pediatrician
Phone
(305) 253-5586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8750 SW 144TH St
Suite #100
Village of Palmetto Bay, FL 33176-7296

Mailing address

8750 SW 144TH St
Suite #100
Village of Palmetto Bay, FL 33176-7296
Phone (305) 253-5585

Other names 1

  • kings bay pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821100967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE #100",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-253-5585",
            "fax_number": "305-253-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE #100",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-253-5585",
            "fax_number": "305-253-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLICKER PAUL GOLDBERG & KELLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLICKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "305-253-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kings bay pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.