Mark Kendrick


Address: 790 Dunlawton Ave, Suite D, Port Orange, FL 32127-4222

Mark Kendrick (NPI# 1306947452, PAC ID# 2668422775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1306947452
PAC ID by PECOS 2668422775
Professional Enrollment ID I20100317000531
Full Name Mark Kendrick
Address 790 Dunlawton Ave
Suite D
Port Orange
FL 32127-4222
Gender M
Medical School UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year 1988
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100017 HALIFAX HEALTH MEDICAL CENTER
100068 FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
100014 FLORIDA HOSPITAL NEW SMYRNA

Other Locations

Address Phone Organization
790 Dunlawton Ave, Suite D, Port Orange, FL 32127-4222

Organization Information

Office Location

Street Address 790 DUNLAWTON AVE
SUITE D
City PORT ORANGE
State FL
Zip 32127-4222

Physicians in the same location

Name Specialty Organization Address
Michelle S Hedderich Family Medicine Florida Health Care Plan Inc 790 Dunlawton Ave, Suite G, Port Orange, FL 32127-4222
Joanne D Saxour Family Medicine Florida Health Care Plan Inc 790 Dunlawton Ave, Suite G, Port Orange, FL 32127-4222
Tara A Fritze Hospitalist Florida Health Care Plan Inc 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-4222

Physicians in the same zip code

Name Specialty Organization Address
Kathleen Williams Colorectal Surgery (proctology) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
David L Meese Colorectal Surgery (proctology) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
Joseph Mirante Otolaryngology Coastal Ear Nose and Throat Pa 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906
Michael Munier Otolaryngology Coastal Ear Nose and Throat Pa 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906
Andrew H Ritter Colorectal Surgery (proctology) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
John S Newman Certified Registered Nurse Anesthetist (crna) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
Anthony T Tucker Otolaryngology Coastal Ear Nose and Throat Pa 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906
John T Tolland Colorectal Surgery (proctology) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
Robert J Yu Colorectal Surgery (proctology) Meese Tolland Ritter and Williams Md Pa 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906
Timothy J Wierzbicki Neurology 1211 Dunlawton Ave, Port Orange, FL 32127-2913
Find all physicians in zip 32127

Competitor

Search similar physicians

City PORT ORANGE
Zip Code 32127
Specialty FAMILY MEDICINE
City + Specialty PORT ORANGE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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