| Kenneth C. Fischer, M.d., P.a. | |
|
1190 Nw 95th St Suite #402 Miami FL 33150-2063 | |
| (305) 696-7666 | |
| (305) 694-0111 |
| Full Name | Kenneth C. Fischer, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1190 Nw 95th St, Miami, Florida |
| Authorized Official Name and Position | Kenneth Clyde Fischer (PRESIDENT) |
| Authorized Official Contact | 3056967666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C. Fischer, M.d., P.a. 1190 Nw 95th St Suite #402 Miami FL 33150-2063 Ph: (305) 696-7666 | Kenneth C. Fischer, M.d., P.a. 1190 Nw 95th St Suite #402 Miami FL 33150-2063 Ph: (305) 696-7666 |
| NPI Number | 1225395668 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225395668 | NPI | - | NPPES |
| 035837100 | Medicaid | FL | |
| 169560400 | Other | DEPARTMENT OF LABOR | |
| 060019520 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME24675 (Florida) | Primary |
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