Individual
KENNETH PALESTRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-1588
(772) 398-1550
Mailing address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-1588
(772) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0056324
FL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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