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KENDALL FAMILY MEDICAL CENTER CORP. NPI 1376784801


NPI Information

NPI: 1376784801
Provider Name: KENDALL FAMILY MEDICAL CENTER, CORP.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2025670

Address:
11760 SW 40TH ST STE 112
MIAMI, FL
ZIP 33175
Phone: (305) 552-6969
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KENDALL FAMILY MEDICAL CENTER, CORP. is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENDALL FAMILY MEDICAL CENTER, CORP. NPI is 1376784801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11760 SW 40TH ST STE 112
MIAMI, FL
ZIP 33175-589
Phone: (305) 552-6969
Fax: (305) 552-6775

The provider's authorized official is Jorge Acosta .
The authorized official title is Vice President and has the following contact phone number (305) 485-7979.

The CLIA number assigned to this NPI record is 10D2025670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/12/2009.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERFLORIDATAX IDENTIFICATION NO EIN

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: 11/14/2023

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