Organization
KENNETH C. FISCHER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CLYDE FISCHER MD (PRESIDENT)
(305) 696-7666
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST, SUITE #402, MIAMI, FL 33150-2063
(305) 696-7666
(305) 694-0111
Mailing address
1190 NW 95TH ST, SUITE #402, MIAMI, FL 33150-2063
(305) 696-7666
(305) 694-0111
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME24675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035837100
—
FL
01
—
060019520
RAILROAD MEDICARE
FL
01
—
169560400
DEPARTMENT OF LABOR
—
Enumeration date
04/23/2012
Last updated
04/23/2012
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