| Pedikidz Of Florida Corp | |
|
2311 10th Ave N Ste 12 Lake Worth FL 33461-6605 | |
| (305) 596-1088 | |
| Not Available |
| Full Name | Pedikidz Of Florida Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 2311 10th Ave N Ste 12, Lake Worth, Florida |
| Authorized Official Name and Position | Rebecca Beltran (OWNER) |
| Authorized Official Contact | 3055910188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedikidz Of Florida Corp 9301 Sw 56th St Ste C Miami FL 33165-6559 Ph: () - | Pedikidz Of Florida Corp 2311 10th Ave N Ste 12 Lake Worth FL 33461-6605 Ph: (305) 596-1088 |
| NPI Number | 1780349712 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780349712 | NPI | - | NPPES |
| 024896100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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