KENNETH EDWARD NIDA

DAYTONA BEACH, FL
NPI1659525681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA 9107756)
Enumeration Date2008-11-04
Last Update Date2015-06-08
Business Address
-- KENNETH EDWARD NIDA P.A.
320 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2744
Phone number: 386-238-3293
Mailing Address
-- KENNETH EDWARD NIDA P.A.
PO BOX 9671
DAYTONA BEACH, FL 32120-9671
Phone number: 386-676-7130
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