Individual
KIRK P DOCKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 637-2616
(321) 637-2986
Mailing address
3740 BRENNAN DR, MELBOURNE, FL 32934-8341
(321) 242-9369
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME91506
FL
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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