Paul B Kornberg in Tampa - Pediatric Rehabilitation Medicine

Paul B Kornberg - NPI 1710943451

Paul B Kornberg is a Pediatric Rehabilitation Medicine in Tampa, Florida. Paul B Kornberg practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Paul B Kornberg is 1710943451. The last update date is 2011-10-28.

Paul B Kornberg's current location address is 2914 N Boulevard, Tampa, Florida. You can contact this provider via phone number 8132287696 and fax number 8132280677. The mailing address for Paul B Kornberg is 2914 N Boulevard, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul B Kornberg
Address 2914 N Boulevard, Tampa, Florida
Phone Number 8132287696
Fax Number 8132280677
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710943451
Provider Enumeration Date 2006-04-21
Last Updated Date 2011-10-28

Provider Mailing Address Detail

Address 2914 N Boulevard
City Tampa
State Florida (FL)
Post Code 336021208
Phone Number 8132287696
Fax Number 8132280677

Provider's Primary Taxonomy Detail

Speciality Pediatric Rehabilitation Medicine
Taxonomy 2081P0010X
Licence No ME0085060
Definition:
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13779 FL BLUE CROSS
2641542-00 FL --
N216229 FL WELLCARE (NON-PAR)
2850138 FL AETNA
716175 FL CIGNA

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FAQs about Paul B Kornberg

What is the unique identifier code issued to Paul B Kornberg by the Centers for Medicare & Medicaid Services?

The Paul B Kornberg has been assigned the NPI (National Provider Identifier) 1710943451. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Paul B Kornberg is geographically located?

The Paul B Kornberg is physically situated at the following location: 2914 N Boulevard, Tampa, FL, 336021208.

What is the Paul B Kornberg's area of specialization and corresponding taxonomy classification?

The Paul B Kornberg's specialty field is Pediatric Rehabilitation Medicine, and it falls under the taxonomy code 2081P0010X, which categorizes healthcare providers based on their specialties.

When did the Paul B Kornberg receive its 1710943451?

The Paul B Kornberg was issued its 1710943451 on 2006-04-21, which is the date when the organization was assigned this unique identifier.

When was the Paul B Kornberg's information last updated?

The Paul B Kornberg's information was last updated on 2011-10-28.

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