Kidspace Therapy Center

LBN: Kidspace Therapy Center
Kidspace Therapy Center is an health care organization with primary practice located at 15291 Nw 60Th Ave Ste 101 , Miami Lakes FL 33014-2459. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Kidspace Therapy Center can be contacted via phone (305) 705-7702, or through Soto, Raul via phone (305) 705-7702.

Contact Information

Primary practice address
15291 Nw 60Th Ave Ste 101 Miami Lakes FL 33014-2459
Phone: (305) 705-7702
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Soto, Raul
Phone: (305) 705-7702

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1154992501
LBN Legal business name Kidspace Therapy Center
DBA Doing business as
Authorized official Soto, Raul
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2021
Last updated Jul 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154992501 NPPES
Florida MEDICAID 0

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