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1609884899
KENNETH J URBAN
PORT ST LUCIE, FL
NPI
1609884899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME33161)
Enumeration Date
2006-08-03
Last Update Date
2011-06-02
Business Address
-- KENNETH J URBAN M.D.
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952-7564
Phone number: 772-398-1800
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Mailing Address
-- KENNETH J URBAN M.D.
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-5665
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