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

Dr. Mary Ratliff Kedrowski, DO

Individual provider Surgery Physician · NPI 1629483508

Dr. Mary Ratliff Kedrowski, DO is a General Surgery in Lake City, Florida. Qualified in 2014, 12 years ago. Practices with South Florida Surgical Specialists LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3140 NW Medical Center Ln
Lake City, FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS15936 (FL)

Record details

NPI number1629483508
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 30, 2014
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice South Florida Surgical Specialists Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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