Individual
KENNETH RAPPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8833 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-1111
(904) 997-1100
Mailing address
8833 PERIMETER PARK BLVD, SUITE 203, JACKSONVILLE, FL 32216-1111
(904) 997-1100
(904) 997-8080
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME80317
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME80317
FL
Other
Enumeration date
10/20/2005
Last updated
03/26/2018
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