NPI: 1497885834
Provider Name: KENDALL PEDIATRICS
Former Legal Business Name: GUILLERMO J LLOSA, MD, PA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization
Specialization: Adolescent Medicine
CLIA Number: 10D0866655
Address:
11400 N KENDALL DR
SUITE A211
MIAMI, FL
ZIP 33176
Phone: (305) 274-2255
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KENDALL PEDIATRICS is an adolescent medicine pediatrics in Miami, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. KENDALL PEDIATRICS NPI is 1497885834. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Guillermo J Llosa, Md, Pa.
The provider's business location address is:
11400 N KENDALL DR
SUITE A211
MIAMI, FL
ZIP 33176-029
Phone: (305) 274-2255
Fax: (305) 274-2211
The provider's authorized official is Guillermo Juan Llosa .
The authorized official title is Owner and has the following contact phone number (305) 274-2255.
The CLIA number assigned to this NPI record is 10D0866655 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/6/2007 and was last updated on 9/24/2009.