| Kp Medical Center Corp | |
|
175 Fontainebleau Blvd Ste 1r Miami FL 33172-4511 | |
| (786) 542-5173 | |
| (786) 536-2512 |
| Full Name | Kp Medical Center Corp |
|---|---|
| Speciality | General Practice |
| Location | 175 Fontainebleau Blvd Ste 1r, Miami, Florida |
| Authorized Official Name and Position | Keniel Pena (PRESIDENT) |
| Authorized Official Contact | 7863086024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kp Medical Center Corp 175 Fontainebleau Blvd Ste 1r Miami FL 33172-4511 Ph: (786) 542-5173 | Kp Medical Center Corp 175 Fontainebleau Blvd Ste 1r Miami FL 33172-4511 Ph: (786) 542-5173 |
| NPI Number | 1245911353 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245911353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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