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Individual

DR. JEFFREY ALAN KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
152 TREEMONTE DR, ORANGE CITY, FL 32763-7953
(386) 951-6684
(386) 960-8948
Mailing address
152 TREEMONT DR, ORANGE CITY, FL 32763-7953
(386) 951-6684
(386) 960-8948

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME68980
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME68980
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51540
BC/BS
FL
Enumeration date
04/05/2006
Last updated
12/11/2019
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