KENNETH DERBENWICK

DAYTONA BEACH, FL
NPI1366402562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: FL  ME0026485)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- KENNETH DERBENWICK MD
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Phone number: 386-238-3200
Mailing Address
-- KENNETH DERBENWICK MD
PO BOX 9671
DAYTONA BEACH, FL 32120
Phone number: 386-615-4015
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