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General NPI Number Information
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NPI Number | 1831011808
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Entity Type | Organization
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Legal Business Name | KENDALL SOUTH FOUNDATION INC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 381 N KROME AVE STE 209
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City | HOMESTEAD
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State | FL
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Zip | 33030-6047
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Country | US
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Telephone | 786-803-8025
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Fax | 786-221-3259
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Provider Business Mailing Address
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Address Line | 381 N KROME AVE STE 209
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City | HOMESTEAD
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State | FL
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Zip | 33030-6047
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Country | US
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Telephone | 786-803-8025
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Fax | 786-221-3259
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Authorized Official
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Title or Position | OWNER
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Name | LUIS O HERNANDEZ
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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