Provider Demographics
NPI:1407929649
Name:KID GLUVS
Entity Type:Organization
Organization Name:KID GLUVS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:TRACEY
Authorized Official - Last Name:TURK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR-L
Authorized Official - Phone:561-201-9924
Mailing Address - Street 1:3365 BURNS RD
Mailing Address - Street 2:214
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4326
Mailing Address - Country:US
Mailing Address - Phone:561-775-7722
Mailing Address - Fax:561-775-9330
Practice Address - Street 1:3365 BURNS RD
Practice Address - Street 2:214
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4326
Practice Address - Country:US
Practice Address - Phone:561-775-7722
Practice Address - Fax:561-775-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6673174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty