Organization
IMAGING & VASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KENNEDY MD (MBR)
(321) 400-1220
Entity
Organization
Contact information
Practice address
415 S WICKHAM RD, MELBOURNE, FL 32904-1137
(321) 400-1220
Mailing address
415 S WICKHAM RD, MELBOURNE, FL 32904-1137
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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