KEVIN M LYNCH DPM PA
Podiatry at Fortenberry Rd, Merritt Island, FL

License number
Florida PO2478
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. KEVIN M LYNCH DPM
Title: PRESIDENT
Phone: (321) 454-6333
Address
Address
260 Fortenberry Rd, Merritt Island, FL 32952
National Provider ID: 1902978497
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN M. LYNCH, D.P.M., PA

260 Fortenberry Rd, Merritt Island, FL 32952

Registration:
Jan 27, 1995
State ID:
P95000007237
Business type:
Florida Profit Corporation
Secretary, President:
Kevin Md.p.m. Lynch (Secretary, President), 7 Country Clb Rd, Cocoa Beach, FL 32931 (Physical)
Agent:
Kevin Lynch,7 Country Clb Rd, Cocoa Beach, FL 32931 (Physical)
EIN:
59-3293632

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