Individual
KENNETH FLICKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8750 SW 144TH ST, STE 100, VILLAGE OF PALMETTO BAY, FL 33176-7296
(305) 253-5585
(305) 253-5679
Mailing address
8750 SW 144TH ST, STE 100, VILLAGE OF PALMETTO BAY, FL 33176-7296
(305) 253-5585
(305) 253-5679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0025375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204024
AVMED
FL
01
—
92142
BCBS
FL
Enumeration date
10/10/2005
Last updated
07/08/2007
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