Kenneth Manchon MD

NPI 1073569398 - Internal Medicine - 207R00000X

NPI Details
NPI 1073569398
Gender Male
Enumeration Date 05/26/2006
Last Updated 10/03/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5401 S CONGRESS AVE
# 201
ATLANTIS FL, 33462-6635, US
Phone (561) 641-7848
Fax (561) 641-6985
Business Location
5700 LAKE WORTH RD
# 204
GREENACRES FL, 33463-4727, US
Phone (561) 968-7968
Fax (561) 964-4603
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME76072
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According to our database, Kenneth Manchon MD NPI is 1073569398, taxonomy code is 207R00000X and license number is ME76072, license state is located at Florida. Kenneth Manchon MD physically located at 5401 S Congress Ave, Atlantis FL, 33462-6635. NPI Number Kenneth Manchon MD has the Individual type.

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1073569398 NPI number is provided on an as is basis without warranty of any kind. 1073569398 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Manchon MD are for informational purposes only.