Bruce S Kennedy Md Pa

LBN: Bruce S Kennedy Md Pa
Bruce S Kennedy Md Pa is an health care organization with primary practice located at 411 Lakebridge Plaza Dr Suite B, Ormond Beach FL 32174-5157. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bruce S Kennedy Md Pa can be contacted via phone (386) 673-2547, or through Kennedy, Bruce S via phone (386) 673-2547.

Contact Information

Primary practice address
411 Lakebridge Plaza Dr Suite B Ormond Beach FL 32174-5157
Phone: (386) 673-2547
Fax: (386) 673-6141
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Bruce S Doctor of Medicine (MD)
Phone: (386) 673-2547

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0043975 Florida

Profile Details

NPI number 1841240678
LBN Legal business name Bruce S Kennedy Md Pa
DBA Doing business as
Authorized official Kennedy, Bruce S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841240678 NPPES
Florida Other 02516 BCBS

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