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General NPI Number Information
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NPI Number | 1588100127
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL GROUP KENDALL, LLC
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 9000 SW 137TH AVE 111
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City | MIAMI
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State | FL
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Zip | 33186
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Country | US
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Telephone | 305-603-7824
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Fax | 305-456-2435
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Provider Business Mailing Address
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Address Line | 9000 SW 137TH AVE STE 208
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City | MIAMI
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State | FL
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Zip | 33186-1436
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Country | US
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Telephone | 305-603-7824
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Fax | 305-456-2435
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LIZSANDRA RODRIGUEZ
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Credential |
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Telephone | 305-603-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME42167
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License Number State | FL
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