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1720063993
KENNETH A BERDICK
FORT MYERS, FL
NPI
1720063993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0017772)
Enumeration Date
2005-12-10
Last Update Date
2013-09-18
Business Address
-- KENNETH A BERDICK M.D.
3714 EVANS AVE
FORT MYERS, FL 33901-9303
Phone number: 239-334-4157
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Mailing Address
-- KENNETH A BERDICK M.D.
3714 EVANS AVE
FORT MYERS, FL 33901-9303
Phone number: 239-334-4157
Copy
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