Individual
KENNETH M VANOSDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 303-8730
(904) 346-0113
Mailing address
PO BOX 863026, ORLANDO, FL 32886-3026
(904) 346-5426
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA1027204
FL
Other
Enumeration date
06/26/2006
Last updated
10/22/2007
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