Organization
KENDALE LAKES MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GREGORIAN M.D. (PRESIDENT)
(305) 385-9919
Entity
Organization
Contact information
Practice address
13550 N KENDALL DR, SUITE 180, MIAMI, FL 33186-1514
(305) 385-9919
(305) 385-9919
Mailing address
13550 N KENDALL DR, SUITE 180, MIAMI, FL 33186-1514
(305) 385-9919
(305) 385-9919
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME056235
FL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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