Organization Active NPI

Kiddie Cardiology LLC

  • Pediatric Cardiology Physician
  • Kissimmee, FL
National Provider Identifier
1881022010
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
KIDDIE CARDIOLOGY LLC
Practice address
512 W Cherry St Ste D
Kissimmee, FL 34741-4114
Phone
(407) 530-4928
Fax
(407) 530-4794
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Yamirah Iglesias
Title
Manager
Phone
(407) 530-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

512 W Cherry St Ste D
Kissimmee, FL 34741-4114

Mailing address

PO Box 1286
Windermere, FL 34786-1286
Phone (800) 454-9454

National Provider Directory

National Provider Directory

Locations

512 W Cherry St
Ste D
Kissimmee, FL 34741
Phone (407) 530-4928

3020 Park Pond Way
Kissimmee, FL 34741
Phone (407) 530-4928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1881022010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1286",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347861286",
            "telephone_number": "800-454-9454",
            "fax_number": "800-454-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W CHERRY ST STE D",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414114",
            "telephone_number": "407-530-4928",
            "fax_number": "407-530-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "YAMIRAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-530-4928"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.