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1295761286
KENNETH BLAZE
PEMBROKE PINES, FL
NPI
1295761286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL OS001666)
Enumeration Date
2006-06-23
Last Update Date
2014-04-25
Business Address
Dr. KENNETH BLAZE D.O.
3 SW 129TH AVENUE SUITE 101
PEMBROKE PINES, FL 33027-1778
Phone number: 954-433-4200
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Mailing Address
Dr. KENNETH BLAZE D.O.
7800 W OAKLAND PARK BLVD SUITE E-214
SUNRISE, FL 33351-6741
Phone number: 954-318-6590
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