Organization
WEST KENDALL REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INTI FERNANDEZ M.D (PRESIDENT)
(305) 512-1717
Entity
Organization
Contact information
Practice address
4445 W 16TH AVE STE 505, HIALEAH, FL 33012-2960
(305) 512-1717
(305) 512-1713
Mailing address
4445 W 16TH AVE STE 505, HIALEAH, FL 33012-2960
(305) 512-1717
(305) 512-1713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME97323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831235043
ORGANIZATION
FL
Enumeration date
03/28/2011
Last updated
03/28/2011
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