Individual
CALEB JOSEPH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
18503 PINES BLVD STE 205, PEMBROKE PINES, FL 33029-1405
(954) 430-8330
(954) 430-3638
Mailing address
18503 PINES BLVD STE 205, PEMBROKE PINES, FL 33029-1405
(954) 430-8330
(954) 430-3638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004146
FL
152W00000X
Optometrist
4146
FL
Other
Enumeration date
06/26/2009
Last updated
06/18/2020
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