Mishkin, Kenneth J

Mishkin, Kenneth J is an individual health care provider with primary practice located at 1500 E Hillsboro Blvd Suite 110, Deerfield Beach FL 33441-4355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mishkin, Kenneth J can be contacted via phone (954) 426-3006.

Contact Information

Primary practice address
1500 E Hillsboro Blvd Suite 110 Deerfield Beach FL 33441-4355
Phone: (954) 426-3006
Fax: (954) 481-9318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME26743 Florida

Profile Details

NPI number 1588799043
LBN Legal business name Mishkin, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588799043 NPPES
Florida MEDICAID 065032300

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