MIAMI KENDALL FL ENDOSCOPY ASC LLC (NPI# 1548414816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548414816 |
| Entity Type | Organization |
| Organization Name | MIAMI KENDALL FL ENDOSCOPY ASC LLC |
| Practice Address |
7600 Sw 87th Ave Miami FL 33173-3505 |
| Practice Telephone | 6156651283 |
| Practice Fax Number | 6156650755 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | MR. PHILLIP A. CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003044100 | 05 |
| Street Address |
7600 SW 87TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932184207 | Jessica Lopez Gomez | Nurse Anesthetist, Certified Registered | 7600 Sw 87th Ave, Miami, FL 33173-3601 | 2005-12-09 |
| 1184184673 | Miavip Medical Staffing,llc | Anesthesiology | 7600 Sw 87th Ave, Miami, FL 33173-3601 | 2019-03-21 |
| 1154788966 | Gabriella Cristina Pohudka | Physician Assistant | 7600 Sw 87th Ave, #206, Miami, FL 33173-3601 | 2016-01-25 |
| 1538583562 | Adriana Marie Hernandez | Physician Assistant | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2014-02-11 |
| 1336481969 | Urology Specialty Care of Miami, LLC | Pharmacist | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2013-03-21 |
| 1780964254 | Angela Marie Overton | Physician Assistant | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2011-08-27 |
| 1043516818 | Carolyn Ashley Presby | Physician Assistant | 7600 Sw 87th Ave, Suite #206, Miami, FL 33173-3601 | 2011-01-26 |
| 1013111491 | Yekutiel Sandman | Urology | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2007-06-12 |
| 1578663670 | Susana M Airala | Nurse Anesthetist, Certified Registered | 7600 Sw 87th Ave, Suite 200, Miami, FL 33173-3601 | 2006-09-25 |
| 1669412417 | Julio Robla Md Pa | Non-Pharmacy Dispensing Site | 7600 Sw 87th Ave, Suite 102, Miami, FL 33173-3601 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952896953 | Advanced Professional Surgical Services | Clinic/Center | 905 Nw 97th Ave Apt 308, Miami, FL 33172-2358 | 2018-06-22 |
| 1992250922 | Miami Surgical Suites LLC | Clinic/Center | 9035 Sunset Drive, Suite 200, Miami, FL 33173 | 2016-08-19 |
| 1811372931 | Surgeon's Cosmetic Center & Medspa LLC | Clinic/Center | 8585 Sunset Dr Ste 107, Miami, FL 33143-3746 | 2015-07-30 |
| 1811319692 | Miami Sunset Surgery Center,llc | Clinic/Center | 7190 Sw 87th Ave Ste 403, Miami, FL 33173-2512 | 2014-01-13 |
| 1568891554 | Psra Simon Family Holding LLC | Clinic/Center | 3850 Bird Rd Ste 201, Miami, FL 33146-1515 | 2013-11-11 |
| 1659619807 | Kelly Wolf & Herman Md Pa | Clinic/Center | 8940 N Kendall Dr Ste 902e, Miami, FL 33176-2176 | 2013-01-23 |
| 1598071102 | Art & Science Surgi Center, Inc. | Clinic/Center | 35 Sw 36th Ct, Miami, FL 33135-1040 | 2010-08-20 |
| 1174844781 | Surgey Center of North Dade, LLC | Clinic/Center | 1395 Nw 167th St, Miami, FL 33169-5742 | 2010-06-17 |
| 1093985525 | Surgery Center of Coral Gables LLC | Clinic/Center | 2645 Douglas Rd, Ste 400, Miami, FL 33133-2744 | 2008-03-12 |
| 1831140151 | Asc Gamma Partners Ltd | Clinic/Center | 7600 Sw 87th Ave Ste 200, Miami, FL 33173-3635 | 2006-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.