Organization
KENDALL URGENT CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO L IZQUIERDO MD (PRESIDENT)
(305) 228-6400
Entity
Organization
Contact information
Practice address
9995 SW 72ND ST STE 206, MIAMI, FL 33173-4662
(305) 603-7800
(305) 603-7796
Mailing address
8356 SW 40 STREET SUITE L, MIAMI, FL 33155
(305) 228-6400
(305) 228-6500
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
95729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95729
ME
FL
Enumeration date
04/23/2010
Last updated
12/05/2011
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