Individual
KENNETH J MISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4355
(954) 426-3006
(954) 481-9318
Mailing address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4355
(954) 426-3006
(954) 481-9318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME26743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065032300
—
FL
Enumeration date
02/23/2007
Last updated
07/08/2007
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