Individual
KENNETH A DACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7171 N UNIVERSITY DR STE 300, TAMARAC, FL 33321-2902
(954) 720-3188
(954) 586-2589
Mailing address
7154 N UNIVERSITY DR # 316, TAMARAC, FL 33321-2916
(954) 720-3188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME53311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263437600
—
FL
Enumeration date
07/27/2006
Last updated
04/20/2016
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