Kendall Prosthetics & Orthotics, Inc.

Prosthetic & Orthotic Supplier


  
14221 Sw 120th St Ste 110, Miami
Florida, 33186-7291

 305-540-3220     645-231-2080Maps & Directions
Kendall Prosthetics & Orthotics, Inc. is a Prosthetic & Orthotic Supplier in Miami, Florida. It is situated at 14221 Sw 120th St Ste 110, Miami and its contact number is 305-540-3220. The authorized person of Kendall Prosthetics & Orthotics, Inc. is Rafael Maksumov who is President of the store and his/her contact number is 917-502-5273. Primary license number for Kendall Prosthetics & Orthotics, Inc. is POR5 in Florida.
Kendall Prosthetics & Orthotics, Inc. is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Kendall Prosthetics & Orthotics, Inc. Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier
Address:14221 Sw 120th St Ste 110, Miami,
Florida, 33186-7291
Phone:305-540-3220
Fax:645-231-2080
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Rafael Maksumov
Position: President
Contact Number: 917-502-5273
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Kendall Prosthetics & Orthotics, Inc. center are as mentioned below.
NPI Number: 1578699393
NPI Enumeration Date: 26 Feb, 2007
NPI Last Update On: 19 May, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendall Prosthetics & Orthotics, Inc. are as mentioned below.
SpecializationLicense NumberStateStatus
Prosthetic/orthotic Supplier POR5FloridaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
M2289OtherFloridaBlue Cross Blue Sheild
226307OtherFloridaAvmed Health Plans
951163600MedicaidFlorida
169843900OtherFloridaU.s. Dept. Of Labor Owcp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kendall Prosthetics & Orthotics, Inc.
14221 Sw 120th St Ste 110,
Miami, Florida
Zip: 33186-7291
Phone Number: 305-540-3220
Fax Number: 645-231-2080
Patients can reach Kendall Prosthetics & Orthotics, Inc. at 14221 Sw 120th St Ste 110, Miami, Florida or can call to book an appointment on 305-540-3220. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.

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