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Organization

KENDALE LAKES MEDICAL CLINIC INC.

Active
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Organization

KENDALE LAKES MEDICAL CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL GREGORIAL MD (PD)
(305) 385-9919
Entity
Organization

Contact information

Practice address
13550 N KENDALL DR, SUITE 180, MIAMI, FL 33186-1654
(305) 385-9919
Mailing address
13550 N KENDALL DR, SUITE 180, MIAMI, FL 33186-1654
(305) 385-9919

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56235
FL

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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