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PEDIATRIC CONSULTANTS OF KENDALL P.A. NPI 1952458085


NPI Information

NPI: 1952458085
Provider Name: PEDIATRIC CONSULTANTS OF KENDALL, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 10D1041965

Address:
11880 SW 40TH ST
SUITE # 305
MIAMI, FL
ZIP 33175
Phone: (305) 223-3131
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PEDIATRIC CONSULTANTS OF KENDALL, P.A. 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. PEDIATRIC CONSULTANTS OF KENDALL, P.A. NPI is 1952458085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11880 SW 40TH ST
SUITE # 305
MIAMI, FL
ZIP 33175-584
Phone: (305) 223-3131
Fax: (305) 553-3888

The provider's authorized official is Marvin J. Rios .
The authorized official title is President and has the following contact phone number (305) 223-3131.

The CLIA number assigned to this NPI record is 10D1041965 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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