# KIRBICORT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073585808
- **Authorized official:** MR. MICHAEL G PRUNER RN (ADMINISTRATOR)
- **Authorized official phone:** (407) 971-8115

## Contact information

- **Practice address:** 2901 YULE CT, CHRISTMAS, FL 32709-8717
- **Practice address phone:** (407) 568-6342
- **Mailing address:** 2455 CURRYVILLE RD, OVIEDO, FL 32766-9152
- **Mailing address phone:** (407) 971-8115
- **Mailing address fax:** (407) 977-9458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 7G343A-C | FL | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 03/21/2012