MATTHEW M KENICK

FORT LAUDERDALE, FL
NPI1922051614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3593)
Enumeration Date2006-05-17
Last Update Date2024-04-04
Business Address
MATTHEW M KENICK PAC
1625 SE 3RD AVENUE THIRD FLOOR
FORT LAUDERDALE, FL 33316
Phone number: 954-355-4665
Mailing Address
MATTHEW M KENICK PAC
1700 NW 49TH STREET SUITE 125
FORT LAUDERDALE, FL 33309-3763
Phone number: 954-355-4665
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