# KAJAAL MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAJAAL MEDICAL SERVICES INC
- **Other names:** KAJAAL MEDICAL SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477734234
- **Legal business name:** KAJAAL MEDICAL SERVICES INC
- **Authorized official:** LUCIA KODAN MSN-ARNP (ARNP)
- **Authorized official phone:** (305) 588-4258

## Contact information

- **Practice address:** 1701 NE 191ST ST, SUITE \# A401, N MIAMI BEACH, FL 33179-4200
- **Practice address phone:** (305) 588-4258
- **Mailing address:** 1701 NE 191ST ST, SUITE \# A401, N MIAMI BEACH, FL 33179-4200
- **Mailing address phone:** (305) 588-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 363LP0808 | FL | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 07/07/2008