Organization
KENNETH J. FUQUAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J FUQUAY M.D. (M.D.)
(561) 745-6950
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD, BLDG 3000 SUITE 103, JUPITER, FL 33458-7191
(561) 745-6950
(561) 748-1806
Mailing address
210 JUPITER LAKES BLVD, BLDG 3000 SUITE 103, JUPITER, FL 33458
(561) 745-6950
(561) 748-1806
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0062203
FL
Other
Enumeration date
09/25/2007
Last updated
02/22/2012
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