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1669449229
KENNETH R MAYER
JACKSONVILLE, FL
NPI
1669449229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME102168)
Enumeration Date
2006-03-02
Last Update Date
2024-11-20
Business Address
Dr. KENNETH R MAYER MD
3101 UNIVERSITY BLVD S STE 102 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32216-2750
Phone number: 904-737-1171
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Mailing Address
Dr. KENNETH R MAYER MD
PO BOX 746638
ATLANTA, GA 30374-6638
Phone number: 904-202-2092
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