Individual
DR. JEFFREY MANDUME KERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 MEDICAL PLAZA DR, LEESBURG, FL 34748-7313
(352) 326-8115
(352) 326-4186
Mailing address
701 MEDICAL PLAZA DR, LEESBURG, FL 34748-7313
(352) 326-8115
(352) 326-4186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0064636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200041253
MEDICARE RAILROAD
FL
01
—
23407
BLUE CROSS OF FLA
FL
05
—
373437400
—
FL
Enumeration date
08/30/2006
Last updated
07/02/2015
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