Healthcare Provider Details

I. General information

NPI: 1821461013
Provider Name (Legal Business Name): BARBARA AND JACK KAY EARLY CHILDHOOD LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2015
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5221 HOOD RD
PALM BEACH GARDENS FL
33418-8924
US

IV. Provider business mailing address

11310 LEGACY AVE
PALM BEACH GARDENS FL
33410-3658
US

V. Phone/Fax

Practice location:
  • Phone: 561-624-9188
  • Fax:
Mailing address:
  • Phone: 561-624-9188
  • Fax: 561-624-3864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. RAMON COTON
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 561-624-9188