Healthcare Provider Details

I. General information

NPI: 1043241284
Provider Name (Legal Business Name): KENDALL REGIONAL MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11440 N KENDALL DR SUITE 208
MIAMI FL
33176-1044
US

IV. Provider business mailing address

11440 N KENDALL DR SUITE 208
MIAMI FL
33176-1044
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-5535
  • Fax:
Mailing address:
  • Phone: 305-412-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM M ABELOVE
Title or Position: MEDICAL DIRECTOR
Credential: M.D. F.A.C.P.
Phone: 305-279-7992