Individual
KENNETH MELL PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 S JOHN YOUNG PKWY, ORLANDO, FL 32839-3716
(407) 398-6470
(407) 894-6872
Mailing address
5900 S JOHN YOUNG PKWY, ORLANDO, FL 32839-3716
(407) 398-6470
(407) 894-6872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046970000
—
FL
Enumeration date
08/12/2005
Last updated
03/22/2017
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