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Organization
MIAMI KENDALL FL ENDOSCOPY ASC LLC
Active
Organization
MIAMI KENDALL FL ENDOSCOPY ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
7600 SW 87TH AVE, MIAMI, FL 33173-3505
(615) 665-1283
(615) 665-0755
Mailing address
7600 SW 87TH AVE, MIAMI, FL 33173-3505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003044100
—
FL
Enumeration date
11/12/2008
Last updated
09/07/2023
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