MEDICARE: KENDALL HEALTHCARE GROUP, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000035941	OTHER	FL	HUMANA
2	0064596	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	274	OTHER	FL	BLUE CROSS
6	20860	OTHER		WELLCARE/STAYWELL
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710931522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENDALL HEALTHCARE GROUP, LTD.

Provider Business Mailing Address
First Line	:	11750 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:	305-223-3000
Fax Number	:	305-229-2444

Provider Business Practice Location Address
First Line	:	11750 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:	305-223-3000
Fax Number	:	305-229-2444

Authorized Official
Title or Position	:	CFO
Name	:	VICKIE MAGUREAN
Credential	:
Telephone Number	:	941-624-8122

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	11/11/2025

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Directions to “KENDALL HEALTHCARE GROUP, LTD. ” Practice Location

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