Individual
MR. KEVIN VERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
3039 JOHNSON ST, HOLLYWOOD, FL 33021-5536
(954) 900-1497
Mailing address
3039 JOHNSON ST, HOLLYWOOD, FL 33021-5536
(954) 900-1497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9109802
FL
Other
Enumeration date
09/21/2016
Last updated
01/17/2023
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