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Individual

DR. DAVID J. KADERIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5149 N 9TH AVE, SUITE 246, PENSACOLA, FL 32504-8756
(850) 416-6159
(850) 416-7198
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4619

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS12384
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010322300
FL
Enumeration date
06/15/2006
Last updated
03/28/2014
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