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KIDS CARE PEDIATRICS,PA
NPI 1104814185
Pediatrics in Palatka, FL

Active since October 12, 2005
6910 OLD WOLF BAY RD, PALATKA, FL 32177(386) 328-7337 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Kids Care Pediatrics,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS CARE PEDIATRICS,PA (NPI 1104814185) is a healthcare organization registered as a pediatrics in Palatka, Florida and active in the NPI registry since October 2005. The organization lists Owen Mark Rosenberg, Practice Advisor, as its authorized official.

NPPES Registry Identity

NPI1104814185
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS CARE PEDIATRICS,PA
Location Address6910 OLD WOLF BAY RDPalatka, FL 32177-6800
Mailing Address6910 Old Wolf Bay RdPalatka, FL 32177-6800 · (386) 328-7337
Phone(386) 328-7337
Organization SubpartNo
Authorized OfficialOwen Mark RosenbergPractice Advisor · (386) 325-9811
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1104814185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6910 OLD WOLF BAY RD, Palatka, FL 32177
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Other Identifiers 2

Other72696FL · Blue Cross Blue Shield Fl
Medicaid107889601FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASHANTI SHANTI BOWDEN NP
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
MRS. LAURA JEAN HOSS M.D.
Pediatrics
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA
PALATKA, FL 32177
Putnam County (386) 328-7337
SYED FAHMEED IMAM MD
Pediatrics
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
FLORANGEL GOMEZ EDRALIN M.D.
Pediatrics
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
ROBENSS PLANCHER
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
KIDS CARE PEDIATRICS,PA
Clinic/Center (Rural Health)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
CATHERINE MARIE SENECA APRN
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 328-7337
MS. PAULA BERYL PHILLIPS A.R.N.P.
Nurse Practitioner (Pediatrics)
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA
PALATKA, FL 32177
Putnam County (386) 328-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Care Pediatrics,pa's NPI number?

The NPI number for Kids Care Pediatrics,pa is 1104814185. It was assigned to this organization in the NPPES registry on October 12, 2005.

Where is Kids Care Pediatrics,pa located?

Kids Care Pediatrics,pa is located at 6910 Old Wolf Bay Rd, Palatka, FL 32177. The listed phone number is (386) 328-7337.

What is Kids Care Pediatrics,pa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kids Care Pediatrics,pa was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.