Kendrick, Mark David

Kendrick, Mark David is an individual health care provider with primary practice located at 790 Dunlawton Ave Suite E, Port Orange FL 32127-9279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kendrick, Mark David can be contacted via phone (386) 760-1877.

Contact Information

Primary practice address
790 Dunlawton Ave Suite E Port Orange FL 32127-9279
Phone: (386) 760-1877
Fax: (386) 760-2791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0057676 Florida

Profile Details

NPI number 1306947452
LBN Legal business name Kendrick, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 29th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306947452 NPPES
Florida MEDICAID 080164321
Florida Other 59-3667262
Florida Other 080164321
Florida Other MEDICARE GROUP
Florida Other 0575838

Popular Providers