Healthcare Provider Details

I. General information

NPI: 1982942207
Provider Name (Legal Business Name): KIDS CHOICE PEDIATRIC DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 01/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 27TH AVE SUITE D-5
MIAMI FL
33147-4909
US

IV. Provider business mailing address

4767 NW 9TH DR
PLANTATION FL
33317-1470
US

V. Phone/Fax

Practice location:
  • Phone: 786-476-7100
  • Fax: 786-476-7031
Mailing address:
  • Phone: 754-204-6122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY LOUIS-CHARLES
Title or Position: ADMINISTRATOR
Credential:
Phone: 754-204-6122