Kennedy, Mark E

Kennedy, Mark E is an individual health care provider with primary practice located at 345 Clyde Morris Blvd Suite 330, Ormond Beach FL 32174-3111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kennedy, Mark E can be contacted via phone (386) 672-4244.

Contact Information

Primary practice address
345 Clyde Morris Blvd Suite 330 Ormond Beach FL 32174-3111
Phone: (386) 672-4244
Fax: (386) 672-0603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0075020 Florida

Profile Details

NPI number 1811948599
LBN Legal business name Kennedy, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 7th, 2023 - about last year

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 1811948599 NPPES
Florida Other 18778423210 UNITED HEALTH CARE
Florida Other 2150833 UNITED HEALTH CARE
Florida MEDICAID 259857400 UNITED HEALTH CARE

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