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Organization
KENDALL SOUTH FOUNDATION INC
Active
Organization
KENDALL SOUTH FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS O HERNANDEZ (VICE PRESIDENT)
(786) 234-0513
Entity
Organization
Contact information
Practice address
4689 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33146-2133
(786) 234-0513
Mailing address
4689 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33146-2133
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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