Individual
DR. JOHN F KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4444 CENTRAL AVENUE, ST. PETERSBURG, FL 33711-1142
(727) 328-0900
(727) 327-4272
Mailing address
4444 CENTRAL AVENUE, ST. PETERSBURG, FL 33711-1142
(727) 328-0900
(727) 327-4272
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0068635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008232
RAILROAD MEDICARE NUMBER
FL
01
—
27288
BCBS PROVIDER NUMBER
FL
01
—
593313537
TRICARE
FL
Enumeration date
05/23/2005
Last updated
02/01/2016
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