Organization
CENTER FOR VASCULAR MEDICINE FL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KENNEDY PA-C (CHEF EXECUTIVE OFFICER)
(301) 981-2000
Entity
Organization
Contact information
Practice address
13782 PLANTATION RD STE 103, FORT MYERS, FL 33912-4462
(301) 982-2000
(301) 982-2001
Mailing address
7474 GREENWAY CENTER DR STE 900, GREENBELT, MD 20770-3504
(301) 982-2000
(301) 982-2001
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/18/2021
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