Provider Demographics
NPI:1326591363
Name:KIDS FIRST THERAPY CENTER INC
Entity Type:Organization
Organization Name:KIDS FIRST THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELVIRA
Authorized Official - Last Name:ANTONUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-931-1014
Mailing Address - Street 1:2815 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741
Mailing Address - Country:US
Mailing Address - Phone:407-931-1014
Mailing Address - Fax:321-697-5480
Practice Address - Street 1:2815 PLYMOUTH PL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7816
Practice Address - Country:US
Practice Address - Phone:407-931-1014
Practice Address - Fax:321-697-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center