KID SPIRIT, INC. – Multi-Specialty Clinic/Center, NPI 1275711889

KID SPIRIT, INC. is a healthcare provider. based in Fort myers, Florida. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. OT10199 (FL). The NPI Number for KID SPIRIT, INC. is 1275711889

Main info

Organization
Name
KID SPIRIT, INC.
NPI
1275711889
Phone
(239) 344-7217
Address
9350 CAMELOT DR
Authorized Official
JAESEN PETRETTA OWNER/PARTNER OTR/L
Enumeration Date
6 February 2008
Last Update Date
6 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for KID SPIRIT, INC.

  • 9350 CAMELOT DR

    FORT MYERS, FL 339197980

    Phone: (239) 344-7217

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33919)

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Reviews

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Frequently asked questions

How do payers reference KID SPIRIT, INC.?
For KID SPIRIT, INC., use NPI 1275711889 as the unique 10-digit identifier.
Would KID SPIRIT, INC. appear as active to a payer?
You can treat KID SPIRIT, INC. as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KID SPIRIT, INC.?
KID SPIRIT, INC.'s specialty line reads Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Florida is KID SPIRIT, INC. registered?
Use Fort Myers, Florida as the headline location for KID SPIRIT, INC. here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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