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Organization
WEST KENDALL MEDICAL LLC
Active
Organization
WEST KENDALL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA P CORONADO (MANAGER DIRECTOR)
(786) 842-0631
Entity
Organization
Contact information
Practice address
13805 SW 128TH ST STE 201B, MIAMI, FL 33186
(305) 219-0572
Mailing address
13405 SW 128TH ST STE 201B, MIAMI, FL 33186-8712
(786) 842-0631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/16/2020
Last updated
07/22/2020
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