OrganizationActive
Kids Health Place
NPI 1124036819 · Pediatrics Physician · Fort Pierce, FL
Provider details
- NPI number
- 1124036819
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Walters, President(772) 467-0961
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 W Midway Rd
Fort Pierce, FL 34981-4955
Phone: (772) 467-0961
Fax: (772) 467-6683
Approximate (ZIP-level) locationGet directions
Mailing address
2900 W Midway Rd
Fort Pierce, FL 34981-4955
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.