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Individual

KENNETH LLOYD KRONBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9417 W SAMPLE ROAD, CORAL SPRINGS, FL 33065
(954) 575-9710
(954) 575-9968
Mailing address
9417 W SAMPLE ROAD, CORAL SPRINGS, FL 33065
(954) 575-9710
(954) 575-9968

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 0027724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0228004
CIGNA
05
038370800
FL
01
0485782
AETNA PIN 4129065
01
14126
WELL CARE STAY WELL HEALT
01
170258
HUMANA
01
203473593
BEST CHOICE
01
241714
AVMED
01
3291ASOP
MYNHP
01
5661133
FIRST HEALTH CCN NETWORK
01
79397
BCBS
01
D58771
VISTA
Enumeration date
12/19/2005
Last updated
09/27/2010
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