Provider Demographics
NPI:1225598626
Name:KIDZ MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:KIDZ MEDICAL SERVICES, INC.
Other - Org Name:KIDZ FACTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-1515
Mailing Address - Street 1:5955 PONDE DE LEAON BLVD. C/O V CHEN,
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146
Mailing Address - Country:US
Mailing Address - Phone:305-661-1515
Mailing Address - Fax:305-662-3723
Practice Address - Street 1:3100 SW 62ND AVE STE 125
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:305-661-1515
Practice Address - Fax:833-464-4208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDZ MEDICAL SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-21
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Single Specialty