# FAMILY PHYSICIANS OF KENDALL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952585796
- **Authorized official:** NORMA S LAKE M.D. (OWNER)
- **Authorized official phone:** (786) 263-0911

## Contact information

- **Practice address:** 11160 SW 88TH ST, SUITE \#104 & \#105, MIAMI, FL 33176-0949
- **Practice address phone:** (786) 263-0911
- **Practice address fax:** (786) 263-2761
- **Mailing address:** 11160 SW 88TH ST, SUITE \#104 & \#105, MIAMI, FL 33176-0949
- **Mailing address phone:** (786) 263-0911
- **Mailing address fax:** (786) 263-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 81467 | FL | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 07/02/2008