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Individual

NARENDRA M KINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12850 SW 60TH AVE, SUITE 300, PINECREST, FL 33156-7101
(305) 661-6072
Mailing address
12850 SW 60TH AVE, SUITE 300, PINECREST, FL 33156-7101

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
084506
MI
208D00000X
General Practice Physician
Primary
ME106315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104654307
MI
01
NK084506
BLUE SHIELD
MI
Enumeration date
06/26/2006
Last updated
03/23/2023
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