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Organization
KENDALL PEDIATRICS
Active
Organization
KENDALL PEDIATRICS
Active
Other names
GUILLERMO J LLOSA, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO JUAN LLOSA M.D. (OWNER)
(305) 274-2255
Entity
Organization
Contact information
Practice address
11400 N KENDALL DR, SUITE A211, MIAMI, FL 33176-1029
(305) 274-2255
(305) 274-2211
Mailing address
11400 N KENDALL DR, SUITE A211, MIAMI, FL 33176-1029
(305) 274-2255
(305) 274-2211
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME 38885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063475887
NPI ALINA SIBLESZ RUIZ MD
FL
01
—
1720077308
NPI GUILLERMO LLOSA, MD
FL
05
—
266165900
—
FL
05
—
275116000
—
FL
05
—
275521100
—
FL
Enumeration date
03/06/2007
Last updated
09/24/2009
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