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Individual

DR. BRETT JASON KANDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4300 ALTON RD, DEPT OF ANESTHESIA, MIAMI BEACH, FL 33140-2948
(305) 674-2742
Mailing address
14060 SW 67TH PL, PALMETTO BAY, FL 33158-1392
(305) 409-3289

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
236501
NY
207L00000X
Anesthesiology Physician
Primary
ME103130
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000587100
FL
01
92328
BLUE SHIELD
FL
Enumeration date
05/16/2008
Last updated
11/13/2024
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