| NPI | 1124036819 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-04 |
| Last Updated | 2020-08-22 |
| Authorized Official | David Walters PRESIDENT Phone: 7724670961 |
| Mailing Address | 2900 W Midway Rd Fort Pierce, FL 34981-4955 United States Phone: (772) 467-0961 | Fax: (772) 467-6683 📍 View Map |
| Primary Practice Address | 2900 W Midway Rd Fort Pierce, FL 34981-4955 United States Phone: (772) 467-0961 | Fax: (772) 467-6683 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 373703900 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | FL | 208000000X |
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About NPI 1124036819
Kids Health Place is an organization registered in the CMS NPPES NPI Registry with NPI number 1124036819. The primary specialty listed is Pediatrics. The organization is located in Fort Pierce, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124036819?
NPI 1124036819 belongs to Kids Health Place, a Pediatrics in Fort Pierce, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124036819 active?
The current status of NPI 1124036819 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1124036819?
NPI 1124036819 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124036819?
You can verify NPI 1124036819 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124036819?
The primary practice address on file for NPI 1124036819 is 2900 W Midway Rd, Fort Pierce, FL 34981-4955. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124036819 issued?
NPI 1124036819 was first issued (enumerated) on 2006-08-04. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Kids Health Place is located at 2900 W Midway Rd, Fort Pierce, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kids Health Place. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124036819. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 208000000X | FL |