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Individual

KENNETH L. MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1950 ARLINGTON ST STE 101, SARASOTA, FL 34239-3508
(941) 917-3400
(941) 917-4300
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME102313
FL
2086X0206X
Surgical Oncology Physician
Primary
ME102313
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000118500
FL
01
52663
BC/BS
FL
Enumeration date
05/05/2006
Last updated
03/23/2021
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