KENNETH BLISS

PORT CHARLOTTE, FL
NPI1952077117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11012755)
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
KENNETH BLISS
21260 OLEAN BLVD STE 202A
PORT CHARLOTTE, FL 33952-6742
Phone number: 941-625-1550
Mailing Address
KENNETH BLISS
12387 SAGEWOOD DR
VENICE, FL 34293-0327
Phone number: 561-329-6408
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