Active NPI
Kiddie Cardiology LLC
- Pediatric Cardiology Physician
- Kissimmee, FL
National Provider Identifier
1881022010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 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 DirectoryLocations
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.
-
- Pediatric Cardiology Physician
- Kissimmee, FL
- NPI 1801060652
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.