Kendall Pain Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME75237 Issued in FL

Legal business name

KENDALL PAIN CENTER LLC

Practice address

11760 SW 40TH St
411
Miami, FL 33175-3582

Phone

(305) 559-5554

Fax

(305) 559-5515

NPI assigned

Mar 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hashem Sultan, MD

Title

Owner

Phone

(305) 559-5554

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1669747424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824610",
            "city": "SOUTH FLORIDA",
            "state": "FL",
            "postal_code": "330824610",
            "telephone_number": "305-559-5554",
            "fax_number": "305-559-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-5554",
            "fax_number": "305-559-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "HASHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-559-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "ME75237",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Open MRI, LLC
• Kendall Opportunities Center Inc
• Kendall Optical
• Kendall Optical Center, Inc
• Kendall Oral Surgery
• Kendall Pain Management Center Corp
• Kendall Pediatrics
• Kendall Physical Therapy & Hand Rehabilitation Center LLC
• Kendall Prosthetics & Orthotics, Inc.
• Kendall Psychiatric Services LLC

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.