Pedikidz of Palm Beach

Organization Active NPI Medically Fragile Infants and Children Day Care · Lake Worth, FL

NPI 1851987150 · NPPES record last updated Dec 21, 2020

Key facts

NPI
1851987150
Entity type
Organization (NPI type 2)
Primary specialty
Medically Fragile Infants and Children Day Care 261QM3000X
Legal business name
PEDIKIDZ OF PALM BEACH
Practice address
2311 10TH Ave N Ste 13
Lake Worth, FL 33461-6605
Phone
(561) 585-7732
NPI assigned
Dec 21, 2020
Organization subpart
No

Authorized official

Name
Marian Macias
Title
Administrator
Phone
(561) 585-7732

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Pedikidz of Palm Beach (2 organizations share this tax ID)

Locations

2311 10th Ave N
Ste 13
Lake Worth, FL 33461
Phone (561) 585-7732

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Yes

Addresses

Primary practice location

2311 10TH Ave N Ste 13
Lake Worth, FL 33461-6605

Mailing address

2311 10TH Ave N Ste 13
Lake Worth, FL 33461-6605
Phone (561) 585-7732

Other providers in Lake Worth, FL

All providers in Lake Worth, FL · Medically Fragile Infants and Children Day Care in Florida

Sources for this page

Verify at the official NPI Registry.