Healthcare Provider Details

I. General information

NPI: 1851505325
Provider Name (Legal Business Name): KENDALL URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 SW 88TH ST STE 180
MIAMI FL
33186-1513
US

IV. Provider business mailing address

13550 SW 88TH ST STE 180
MIAMI FL
33186-1513
US

V. Phone/Fax

Practice location:
  • Phone: 305-385-9919
  • Fax:
Mailing address:
  • Phone: 305-385-9919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL GREGORIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 305-385-9919