Provider Demographics
NPI:1164450508
Name:KENDRICK, JAMES ERASMUS IV (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ERASMUS
Last Name:KENDRICK
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4648
Mailing Address - Country:US
Mailing Address - Phone:407-303-2422
Mailing Address - Fax:407-303-2435
Practice Address - Street 1:2501 N ORANGE AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4648
Practice Address - Country:US
Practice Address - Phone:407-303-2422
Practice Address - Fax:407-303-2435
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-04-30
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Provider Licenses
StateLicense IDTaxonomies
FLME104557207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology