Individual
KENNETH MARGESON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-1944
(407) 303-1746
Mailing address
PO BOX 150505, ALTAMONTE SPRINGS, FL 32715-0505
(407) 767-0433
(407) 767-0608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME18231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48854
BCBS OF FLORIDA
FL
Enumeration date
07/06/2005
Last updated
07/08/2007
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