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Individual

DR. JOSEPH JAMES KAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21 COCONUT LN, OCEAN RIDGE, FL 33435-5202
(305) 331-9580
Mailing address
21 COCONUT LN, OCEAN RIDGE, FL 33435-5202
(305) 331-9580

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-33259
KS
2085R0202X
Diagnostic Radiology Physician
042-0011291
VT
2085R0202X
Diagnostic Radiology Physician
Primary
414164
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200111561
MO
05
30004827960001
KS
Enumeration date
10/18/2006
Last updated
08/25/2025
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