Coral Reef Medical Of Kendall LLC
Family Medicine in Miami, FL. Organization (NPI-2).
NPI number1609007293
StatusActive
Last updated in NPPESOct 1, 2009
Details
- NPI
- 1609007293
- Entity type
- Organization (NPI-2)
- Legal business name
- Coral Reef Medical Of Kendall LLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2009
- Last updated
- Oct 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME86106 | FL | Yes |
Practice location
11440 Sw 88th StSuite 208
Miami, FL 33176-1044
Phone 305-271-7660 · Fax 305-271-7599
Mailing address
11440 Sw 88th StSuite 208
Miami, FL 33176-1044
Phone 305-271-7660 · Fax 305-271-7599
Authorized official
Roberto Bermudez
Owner
3052717660
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