Organization
KADIA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E KENT (PHYSICIAN OWNER)
(386) 507-5269
Entity
Organization
Contact information
Practice address
813 DELTONA BLVD STE A, DELTONA, FL 32725-7154
(386) 507-5269
Mailing address
813 DELTONA BLVD STE A, DELTONA, FL 32725-7154
(386) 507-5269
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
01/23/2019
Last updated
03/25/2019
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