Organization Active NPI

Family Medical Clinic Kendall LLC

  • Multi-Specialty Clinic/Center
  • Homestead, FL
National Provider Identifier
1821579384
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME124991 Issued in FL
Legal business name
FAMILY MEDICAL CLINIC KENDALL LLC
Practice address
239 N Krome Ave Ste a
Homestead, FL 33030-6018
Phone
(305) 603-7824
Fax
(305) 456-2435
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Lizsandra Rodriguez
Title
President
Phone
(305) 603-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME124991 FL Primary

Addresses

Primary practice location

239 N Krome Ave Ste a
Homestead, FL 33030-6018

Mailing address

9000 SW 137TH Ave Ste 111
Miami, FL 33186-1435
Phone (305) 603-7824

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1821579384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861435",
            "telephone_number": "305-603-7824",
            "fax_number": "305-456-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N KROME AVE STE A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306018",
            "telephone_number": "305-603-7824",
            "fax_number": "305-456-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC KENDALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-603-7824"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME124991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.