Kid Spirit, Inc. in Fort Myers - Multi-specialty
Kid Spirit, Inc. - NPI 1275711889
Kid Spirit, Inc. is a Multi-specialty in Fort Myers, Florida. Kid Spirit, Inc. practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Kid Spirit, Inc. is 1275711889. The last update date is 2008-02-06.
Kid Spirit, Inc.'s current location address is 9350 Camelot Dr, Fort Myers, Florida. You can contact this provider via phone number 2393447217. The mailing address for Kid Spirit, Inc. is 9350 Camelot Dr, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kid Spirit, Inc. |
|---|---|
| Address | 9350 Camelot Dr, Fort Myers, Florida |
| Phone Number | 2393447217 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PART |
|---|---|
| Authorized Official Name | Petretta Jaesen |
| Credentials | OTR/L |
| Telephone Number | 2398393408 |
NPI Number Detail
| NPI Number | 1275711889 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 9350 Camelot Dr |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339197980 |
| Phone Number | 2393447217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | OT10199 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kid Spirit, Inc.?
The Kid Spirit, Inc. has been issued the NPI (National Provider Identifier) 1275711889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kid Spirit, Inc.?
The Kid Spirit, Inc. is physically situated at 9350 Camelot Dr, in the city of Fort Myers, state of FL, with the postal code 339197980.
What is Kid Spirit, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kid Spirit, Inc. is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275711889 to Kid Spirit, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1275711889 to Kid Spirit, Inc. on 2008-02-06.
As of what date was the information regarding Kid Spirit, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kid Spirit, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-06.