Organization
KENDALL MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA P CORONADO (PRESIDENT & CEO)
(305) 219-0572
Entity
Organization
Contact information
Practice address
12924 SW 133RD CT, MIAMI, FL 33186-6586
(305) 515-2580
Mailing address
12924 SW 133RD CT, MIAMI, FL 33186-6586
(305) 515-2580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
07/13/2020
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