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General NPI Number Information
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NPI Number | 1821850405
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Entity Type | Organization
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Legal Business Name | KENDALL SOUTH REHAB INC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4689 PONCE DE LEON BLVD STE 200
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City | CORAL GABLES
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State | FL
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Zip | 33146-2133
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Country | US
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Telephone | 786-803-8025
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Fax | 213-832-3211
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Provider Business Mailing Address
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Address Line | 4689 PONCE DE LEON BLVD STE 200
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City | CORAL GABLES
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State | FL
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Zip | 33146-2133
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Country | US
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Telephone | 786-803-8025
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Fax | 213-832-3211
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Authorized Official
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Title or Position | PRESIDENT
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Name | ILEANA N ARCE SARMIENTO
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Credential |
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Telephone | 786-803-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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