Organization
KIRBICORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G PRUNER RN (ADMINISTRATOR)
(407) 971-8115
Entity
Organization
Contact information
Practice address
2901 YULE CT, CHRISTMAS, FL 32709-8717
(407) 568-6342
Mailing address
2455 CURRYVILLE RD, OVIEDO, FL 32766-9152
(407) 971-8115
(407) 977-9458
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
7G343A-C
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684718896
—
FL
Enumeration date
02/06/2006
Last updated
03/21/2012
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