Organization
WEST KENDALL PHCY AND DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIANEY ESCOBAR (OWNER)
(305) 382-9003
Entity
Organization
Contact information
Practice address
15649 SW 88TH ST, MIAMI, FL 33196-1103
(305) 382-9003
(305) 382-9004
Mailing address
15649 SW 88TH ST, MIAMI, FL 33196-1103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019024
OTHER ID NUMBER
—
Enumeration date
08/18/2006
Last updated
09/12/2007
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