Garrett, Kendis

Garrett, Kendis is an sole proprietor health care provider with primary practice located at 7451 Wiles Rd Suite 205, Coral Springs FL 33067-2040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Garrett, Kendis can be contacted via phone (954) 345-6838.

Contact Information

Primary practice address
7451 Wiles Rd Suite 205 Coral Springs FL 33067-2040
Fax: (954) 345-6848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME49251 Florida

Profile Details

NPI number 1326035155
LBN Legal business name Garrett, Kendis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Dec 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326035155 NPPES
Florida MEDICAID 039161100

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