# WEST KENDALL MEDICAL LLC

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

## Provider details

- **NPI number:** 1962010934
- **Authorized official:** GINA P CORONADO (MANAGER DIRECTOR)
- **Authorized official phone:** (786) 842-0631

## Contact information

- **Practice address:** 13805 SW 128TH ST STE 201B, MIAMI, FL 33186
- **Practice address phone:** (305) 219-0572
- **Mailing address:** 13405 SW 128TH ST STE 201B, MIAMI, FL 33186-8712
- **Mailing address phone:** (786) 842-0631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2020
- **Last updated:** 07/22/2020