| Coastal Kids | |
|
1055 Sw 44th Ave Plantation FL 33317-4535 | |
| (954) 584-7205 | |
| Not Available |
| Full Name | Coastal Kids |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1055 Sw 44th Ave, Plantation, Florida |
| Authorized Official Name and Position | Sonia Smith (NURSE PRACTITIONER) |
| Authorized Official Contact | 9549330597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Kids 114 Se 20th Ave Pompano Beach FL 33060-7547 Ph: (954) 933-0597 | Coastal Kids 1055 Sw 44th Ave Plantation FL 33317-4535 Ph: (954) 584-7205 |
| NPI Number | 1558497370 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558497370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP 1830552 (Florida) | Primary |
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