Individual
KENNETH DUFFY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W 49TH ST, STE 717, HIALEAH, FL 33012-2900
(239) 331-8690
Mailing address
4100 CORPORATE SQ, STE 153, NAPLES, FL 34104-4714
(239) 331-8690
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
232728
FL
376J00000X
Homemaker
Primary
232728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005937900
—
FL
Enumeration date
05/21/2014
Last updated
05/21/2014
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