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1801813852
KIRK P DOCKENDORF
ROCKLEDGE, FL
NPI
1801813852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL ME91506)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
KIRK P DOCKENDORF
110 LONGWOOD AVE
ROCKLEDGE, FL 32955-2828
Phone number: 321-637-2616
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Mailing Address
KIRK P DOCKENDORF
3740 BRENNAN DR
MELBOURNE, FL 32934-8341
Phone number: 321-242-9369
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