Ingenious Kids Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INGENIOUS KIDS CORP.

Practice address

820 Spring Lake SQ
Winter Haven, FL 33881-1338

Phone

(863) 323-0334

Fax

(863) 323-0422

NPI assigned

Jun 5, 2020

Last updated

Nov 3, 2023By 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

Yusleidy Gil

Title

Owner

Phone

(786) 470-9105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1821612839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-323-0334",
            "fax_number": "863-323-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-323-0334",
            "fax_number": "863-323-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIOUS KIDS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "YUSLEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-470-9105"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, 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 3, 2023; 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.