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Kenneth Panganiban, PTA
NPI 1124418934 · on the registry since 2015
Practice
- Address
- 232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- Organisation at this address
- David T Harvey Md Pa
Ponte Vedra Surgery Center
Southeast Orthopedic Specialists, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida