| Kids Central, Inc. | |
|
901 Industrial Dr Ste 200 Wildwood FL 34785-4707 | |
| (352) 873-6332 | |
| Not Available |
| Full Name | Kids Central, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 Industrial Dr Ste 200, Wildwood, Florida |
| Authorized Official Name and Position | John Cooper (CEO) |
| Authorized Official Contact | 3528736332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Central, Inc. 901 Industrial Dr Ste 200 Wildwood FL 34785-4707 Ph: (352) 873-6332 | Kids Central, Inc. 901 Industrial Dr Ste 200 Wildwood FL 34785-4707 Ph: (352) 873-6332 |
| NPI Number | 1851169148 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851169148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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