| Kendall Medical Center, Inc | |
|
11120 N Kendall Dr Suite 100 Miami FL 33176-1473 | |
| (305) 279-0808 | |
| (305) 271-4916 |
| Full Name | Kendall Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11120 N Kendall Dr, Miami, Florida |
| Authorized Official Name and Position | Maribel Schwaninger (OFFICE MANAGER) |
| Authorized Official Contact | 3052790808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Medical Center, Inc 11120 N Kendall Dr Suite 100 Miami FL 33176-1473 Ph: (305) 279-0808 | Kendall Medical Center, Inc 11120 N Kendall Dr Suite 100 Miami FL 33176-1473 Ph: (305) 279-0808 |
| NPI Number | 1811951247 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811951247 | NPI | - | NPPES |
| 254263300 | Medicaid | FL | |
| 261046900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS 8030 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS0001730 (Florida) | Primary |
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