| NPI | 1568500635 |
|---|---|
| Doing Business As | THE KID'S DOCTOR |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIA NIEBLES President 813-971-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |