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1235122631
KENNETH R FISCELLA
BRADENTON, FL
NPI
1235122631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME0015053)
Enumeration Date
2005-08-31
Last Update Date
2007-07-08
Business Address
-- KENNETH R FISCELLA MD
1410 59TH ST W
BRADENTON, FL 34209-4607
Phone number: 941-792-1477
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Mailing Address
-- KENNETH R FISCELLA MD
1410 59TH ST W
BRADENTON, FL 34209-4607
Phone number:
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