Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce S Kennedy MD PA

Organization Specialist · NPI 1841240678

Bruce S Kennedy MD PA is a Specialist in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 Lakebridge Plaza Dr Ste B
Ormond Beach, FL 32174-5157
Phone: (386) 673-2547
Fax: (386) 673-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0043975 (FL)

Record details

NPI number1841240678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Kennedy — President · (386) 673-2547
NPI enumeratedMay 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address411 Lakebridge Plaza Dr, Suite B, Ormond Beach, FL 32174-5157

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