Individual
KENNETH JOSEPH TOURGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2951 NW 49TH AVE, SUITE # 301, LAUDERDALE LAKES, FL 33313-1600
(954) 739-2221
(954) 739-2271
Mailing address
2951 NW 49TH AVE, SUITE #301, LAUDERDALE LAKES, FL 33313-1600
(954) 739-2221
(954) 739-2271
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME91281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046355
CAREPLUS
FL
01
—
48977
B C B S
FL
01
—
48977Z
MEDICARE ID
FL
Enumeration date
10/03/2005
Last updated
10/13/2020
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