Michael Joseph Kavanaugh M.D.

NPI 1487786869 - General Practice - 208D00000X

NPI Details
NPI 1487786869
Gender Male
Enumeration Date 03/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2792 COTTONWOOD LN
PENSACOLA FL, 32514-5917, US
Phone (708) 370-1616
Fax
Business Location
2792 COTTONWOOD LN
PENSACOLA FL, 32514-5917, US
Phone (708) 370-1616
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Virginia
License Number 0101240250
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According to our database, Dr. Michael Joseph Kavanaugh M.D. NPI is 1487786869, taxonomy code is 208D00000X and license number is 0101240250, license state is located at Virginia. Michael Joseph Kavanaugh M.D. physically located at 2792 Cottonwood Ln, Pensacola FL, 32514-5917. NPI Number Michael Joseph Kavanaugh M.D. has the Individual type.

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1487786869 NPI number is provided on an as is basis without warranty of any kind. 1487786869 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Joseph Kavanaugh M.D. are for informational purposes only.