DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. FELICIA D KENNICOTT PA-C

MEDICARE: MRS. FELICIA D KENNICOTT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9115617FL
2363AM0700XMedical Physician Assistant5317GA
3363A00000XPhysician AssistantPA9115617FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376710541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FELICIA D KENNICOTT PA-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1979 W HILLSBORO BLVD STE 1
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1444
Country : US
Telephone Number : 954-428-4800
Fax Number : 888-498-4773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 09/18/2025

Similar Medicare Providers

1528159845 — SHERRY CAROL SUSSMAN M.D.
Practice Location Address:
1979 W HILLSBORO BLVD , SUITE 1
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax:
1083705313 — JEFFREY EDWARD SUSSMAN M.D.
Practice Location Address:
1979 W HILLSBORO BLVD , SUITE 1
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax:
1154413409 — SUSSMAN MEDICAL ASSOCIATES INC
Practice Location Address:
1979 W HILLSBORO BLVD , SUITE 1
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax:
1922153287 — DEERFIELD MEDICAL GROUP LLC
Practice Location Address:
1979 W HILLSBORO BLVD , SUITE 1
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax: 954-428-4909
1659566545 — MS. CONNIE X. LIU M.D.,
Practice Location Address:
1979 W HILLSBORO BLVD , SUITE 1
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax:
1629245121 — MRS. CAREY ANNE CONNOLLY D.O.
Practice Location Address:
1979 W HILLSBORO BLVD
DEERFIELD BEACH, FL
33442-1444
Practice Phone: 954-428-4800
Practice Fax:

Directions to “ MRS. FELICIA D KENNICOTT PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.