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Bruce S Kennedy Md Pa
Specialist in Ormond Beach, Florida
NPI 1841240678

Bruce S Kennedy Md Pa is a Specialist based in Ormond Beach, FL. Bruce S Kennedy Md Pa practices in Ormond Beach, FL. The NPI Number for Bruce S Kennedy Md Pa is 1841240678 and holds a License No. ME0043975 (Florida).

The current practice location address for Bruce S Kennedy Md Pa is 411 Lakebridge Plaza Dr, Ormond Beach, FL and can be reached out via phone at 386-673-2547 and via fax at 386-673-6141.

Location: 411 Lakebridge Plaza Dr, Ormond Beach, FL, 32174-5157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841240678
Provider Name
Bruce S Kennedy Md Pa
Credential
Provider Entity Type
Organization
Address
411 Lakebridge Plaza Dr, Ormond Beach, FL, 32174-5157
Phone Number
386-673-2547
Fax Number
386-673-6141
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02516 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
411 Lakebridge Plaza Dr
City
Ormond Beach
State
Florida
Zip
32174-5157
Phone Number
386-673-2547
Fax Number
386-673-6141
person
Provider Business Mailing Address Details
Address
411 Lakebridge Plaza Dr
City
Ormond Beach
State
Florida
Zip
32174-5157
Phone Number
386-673-2547
Fax Number
386-673-6141
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0043975 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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