Crp/Fdg West Kendall Sl Owner, L.l.c.

Specialty details in registry · Miami, FL

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At a glance

9355 Sw 158Th Ave, Miami, FL 33196-5872

NPPES record updated Dec 3, 2018. Public records can lag behind changes at a practice.

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Practice location

9355 Sw 158Th Ave
Miami, FL 33196-5872
Professional details: NPI, taxonomy & registry record
NPI1265902787
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Nov 27, 2018
Record updated
Dec 3, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9355 Sw 158Th Ave
Miami, FL 33196-5872
Phone
(786) 878-5140
Mailing address
1001 PENNSYLVANIA AVE NW STE 220

WASHINGTON, DC 200042525
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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