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1659331619
KENNETH BROOKFIELD HAWTHORNE
ORMOND BEACH, FL
NPI
1659331619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: FL MEOO63107)
Enumeration Date
2006-03-24
Last Update Date
2020-12-01
Business Address
-- KENNETH BROOKFIELD HAWTHORNE MD
106 N OLD KINGS RD STE E
ORMOND BEACH, FL 32174
Phone number: 386-671-0115
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Mailing Address
-- KENNETH BROOKFIELD HAWTHORNE MD
106 N OLD KINGS RD STE E
ORMOND BEACH, FL 32174
Phone number: 386-671-0115
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