Healthcare Provider Details

I. General information

NPI: 1063317154
Provider Name (Legal Business Name): KENDALL HEALTHCARE GROUP, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14190 SW 288TH ST
HOMESTEAD FL
33033-1864
US

IV. Provider business mailing address

14190 SW 288TH ST
HOMESTEAD FL
33033-1864
US

V. Phone/Fax

Practice location:
  • Phone: 786-572-6900
  • Fax:
Mailing address:
  • Phone: 786-572-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BEN HARRIS
Title or Position: CEO
Credential:
Phone: 305-223-3000