Individual
DR. KENT CHRISTOPHER NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.. PH.D.
Contact information
Practice address
4205 BELFORT ROAD, SUITE 3075 JOE ADAMS BUILDING, JACKSONVILLE, FL 32216
(904) 296-3103
(904) 296-3106
Mailing address
4205 BELFORT ROAD, SUITE 3075 JOE ADAMS BUILDING, JACKSONVILLE, FL 32216
(904) 296-3103
(904) 296-3106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME92824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03397
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/18/2005
Last updated
08/25/2009
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