Kirsten N Brondstater in Winter Park - Medical

Kirsten N Brondstater - NPI 1275749053

Kirsten N Brondstater is a Medical in Winter Park, Florida. Kirsten N Brondstater practices all healthcare services and medical treatments related to Medical. The NPI Number for Kirsten N Brondstater is 1275749053. The last update date is 2013-09-20.

Kirsten N Brondstater's current location address is 1605 W Fairbanks Ave, Winter Park, Florida. You can contact this provider via phone number 4079750200 and fax number 4079750209. The mailing address for Kirsten N Brondstater is 1605 W Fairbanks Ave, Winter Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirsten N Brondstater
Address 1605 W Fairbanks Ave, Winter Park, Florida
Phone Number 4079750200
Fax Number 4079750209
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1275749053
Provider Enumeration Date 2007-05-16
Last Updated Date 2013-09-20

Provider Mailing Address Detail

Address 1605 W Fairbanks Ave
City Winter Park
State Florida (FL)
Post Code 327894603
Phone Number 4079750200
Fax Number 4079750209

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 9107257
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00657230 VA MEDICARE RR

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FAQs about Kirsten N Brondstater

What is the unique 10-digit identifier code issued to Kirsten N Brondstater by the Centers for Medicare & Medicaid Services?

The Kirsten N Brondstater has been assigned the NPI (National Provider Identifier) 1275749053 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kirsten N Brondstater is physically located?

The Kirsten N Brondstater is situated at the following address: 1605 W Fairbanks Ave, Winter Park, FL 327894603.

What is the Kirsten N Brondstater's specialty and taxonomy code?

The Kirsten N Brondstater's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

When did Kirsten N Brondstater receive its 1275749053 assignment?

The Kirsten N Brondstater was assigned its 1275749053 on 2007-05-16, which is the date when this unique identifier was issued to the organization.

When was the information related to Kirsten N Brondstater most recently updated or refreshed?

The details pertaining to the Kirsten N Brondstater, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-20.

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