Organization
KENDALL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS SILVA LDO (OPTICIAN)
(305) 271-4544
Entity
Organization
Contact information
Practice address
8501 SW 124TH AVE, SUITE 109A, MIAMI, FL 33183-4627
(305) 271-4544
Mailing address
8501 SW 124TH AVE, SUITE 109A, MIAMI, FL 33183-4627
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DO 6309
FL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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