Individual
DR. KENNETH LESLIE GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
12902 USF MAGNOLIA DR, MAILSTOP WCB-RAD MD/OPI, TAMPA, FL 33612-9416
(813) 745-1573
(813) 745-6070
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
ME119590
FL
2085N0904X
Nuclear Radiology Physician
ME119590
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME119590
FL
Other
Enumeration date
02/14/2008
Last updated
09/02/2025
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