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Kids Care Pediatrics,PA

Pediatrics Physician in Palatka, FL · enumerated 2005 · authorized official Owen Rosenberg, Practice Advisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104814185

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Registry record

Entity type Organization (Type 2)
Legal business name Kids Care Pediatrics,PA
Practice address 6910 Old Wolf Bay Rd, Palatka, FL, 32177
Enumeration date Oct 12, 2005
Last updated in NPPES Mar 15, 2021

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Owen Rosenberg
Title Practice Advisor

Other identifiers

Identifier Type State Issuer
107889601 Medicaid FL -
72696 Other FL BLUE CROSS BLUE SHIELD FL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-03-15. Verify at npiregistry.cms.hhs.gov.
Where is Kids Care Pediatrics,PA located?
The practice location on file with NPPES is in Palatka, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-15.