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 Date2025-07-29
Business Address
MATTHEW M KENICK PAC
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316-2521
Phone number: 954-355-4665
Mailing Address
MATTHEW M KENICK PAC
1608 SE 3RD AVE FL 3
FORT LAUDERDALE, FL 33316-2564
Phone number: 954-355-4665
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