KIDS KLINIC, BROWARD CHILDREN CENTER (NPI# 1558497370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558497370 |
| Entity Type | Organization |
| Organization Name | KIDS KLINIC, BROWARD CHILDREN CENTER |
| Other Organization Name | COASTAL KIDS |
| Practice Address |
1055 Sw 44th Ave Plantation FL 33317-4535 |
| Mailing Address |
114 Se 20th Ave Pompano Beach FL 33060-7547 |
| Practice Telephone | 9545847205 |
| Mailing Telephone | 9549330597 |
| Mailing Fax Number | 9549411164 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SONIA SMITH (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9549330597 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP 1830552 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coastal kids | Other Name - Individual/Organization |
| Street Address |
1055 SW 44TH AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246148 | South Florida Sports and Preventive Medicine Inc | Clinic/Center | 510 Nw 84th Ave Apt 440, Plantation, FL 33324-1874 | 2019-03-28 |
| 1053754028 | Healthpath Medical Center, LLC | Clinic/Center | 201 Nw 82nd Ave Ste 203b, Plantation, FL 33324-1854 | 2013-04-09 |
| 1881941821 | Aiken's Primary Care LLC | Clinic/Center | 5975 W Sunrise Blvd Ste 105, Plantation, FL 33313-6801 | 2012-08-09 |
| 1306142195 | Cynthia M Auerbach | Clinic/Center | 6201 Almond Ter, Plantation, FL 33317-2562 | 2011-01-27 |
| 1922160225 | Pediatrics Care Plus | Clinic/Center | 301 Nw 84th Ave Ste 203, Plantation, FL 33324-1807 | 2006-12-14 |
| 1942848833 | Mahogany Health Center Inc | Clinic/Center | 660 N State Road 7 Ste 4, Plantation, FL 33317-2117 | 2019-12-11 |
| 1124526520 | Wn Medical Inc | Clinic/Center | 499 Nw 70th Ave, Plantation, FL 33317-7500 | 2018-01-31 |
| 1861844227 | Nancy Pyram-bernard Do LLC Lice Source Services & Sffhrc | Clinic/Center | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2016-07-11 |
| 1912358169 | Dhgmso | Clinic/Center | 201 Nw 70th Ave, Suite D, Plantation, FL 33317-2369 | 2016-06-29 |
| 1861741167 | Sabiha Khan Md Pa | Clinic/Center | 201 Nw 82 Avenue, Plantation, FL 33324-1854 | 2012-08-31 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on KIDS KLINIC, BROWARD CHILDREN CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.