Organization · Type 2 NPI

Kidz Medical Services Inc.

Pediatric Hematology & Oncology Physician · Port St. Lucie, FL

NPI number 1235604307 Active

Practice location

10521 SW Village Center Dr Ste 101
Port St. Lucie, FL 34987-1930

Call (561) 558-1212 Map

Fax (833) 464-4219

Mailing address

5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Pediatric Cardiology Physician	2080P0202X	None listed
Pediatric Hematology & Oncology Physician Primary	2080P0207X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

3 other providers at this address

NPI record

NPI: 1235604307
Entity type: Organization (Type 2)
Issued: Oct 4, 2018
Last updated: Oct 28, 2026
Status: Active

Other names

<unavail>
Kidz Pediatric Multispecialty Practice Port St. Lucie · other name
PT St. Lucie · other name

Authorized official

Irene Raxach Castro
HR/credentialing Specialist
(305) 662-3290

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235604307

Kidz Medical Services Inc.'s National Provider Identifier is 1235604307, issued on Oct 4, 2018. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 28, 2026.