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Organization
KAHAN PREVENTIVE HEALTHCARE, P.L,
Active
Organization
KAHAN PREVENTIVE HEALTHCARE, P.L,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L KILGORE (OFFICE MANAGER)
(813) 968-7830
Entity
Organization
Contact information
Practice address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Mailing address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0047321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261369700
—
FL
Enumeration date
11/04/2008
Last updated
11/04/2008
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