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KENNETH J. FUQUAY MD PA NPI 1588851471


NPI Information

NPI: 1588851471
Provider Name: KENNETH J. FUQUAY MD PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
210 JUPITER LAKES BLVD
BLDG 3000 SUITE 103
JUPITER, FL
ZIP 33458
Phone: (561) 745-6950
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KENNETH J. FUQUAY MD PA is a pulmonary disease internal medicine in Jupiter, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. KENNETH J. FUQUAY MD PA NPI is 1588851471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 JUPITER LAKES BLVD
BLDG 3000 SUITE 103
JUPITER, FL
ZIP 33458-191
Phone: (561) 745-6950
Fax: (561) 748-1806

The provider's authorized official is Kenneth J Fuquay .
The authorized official title is M.d. and has the following contact phone number (561) 745-6950.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 2/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseME0062203FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F72626MEDICARE UPINFLORIDA
2K1269MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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